| Purity Medical | |
|
3688 Coral Tree Cir Coconut Creek FL 33073-4415 | |
| (954) 854-7781 | |
| Not Available |
| Full Name | Purity Medical |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3688 Coral Tree Cir, Coconut Creek, Florida |
| Authorized Official Name and Position | Carline Jean-philippe (ADVANCED PRACTICE NURSE) |
| Authorized Official Contact | 9548547781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purity Medical 3688 Coral Tree Cir Coconut Creek FL 33073-4415 Ph: (954) 854-7781 | Purity Medical 3688 Coral Tree Cir Coconut Creek FL 33073-4415 Ph: (954) 854-7781 |
| NPI Number | 1770277063 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/20/2025 |
| Certification Date | 06/20/2025 |
| Medicare PECOS PAC ID | 3476914573 |
|---|---|
| Medicare Enrollment ID | O20250924002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770277063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Primary |
| Provider Name | Carline Jean-philippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154827384 PECOS PAC ID: 7810234119 Enrollment ID: I20241120003751 |
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