| Pure Age Management LLC | |
|
1054 Gateway Blvd Suite 103 Boynton Beach FL 33426-8301 | |
| (561) 847-4654 | |
| (561) 847-4956 |
| Full Name | Pure Age Management LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1054 Gateway Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Karl E Vaeth (OWNER/MANAGING PARTNER) |
| Authorized Official Contact | 5612259922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Age Management LLC 1054 Gateway Blvd Suite 103 Boynton Beach FL 33426-8301 Ph: (561) 847-4654 | Pure Age Management LLC 1054 Gateway Blvd Suite 103 Boynton Beach FL 33426-8301 Ph: (561) 847-4654 |
| NPI Number | 1669832341 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669832341 | NPI | - | NPPES |
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