Pure Age Management, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9731 Issued in FL

Legal business name

PURE AGE MANAGEMENT, LLC

Practice address

1015 Gateway Blvd
Suite 401
Boynton Beach, FL 33426-8347

Phone

(561) 847-4654

NPI assigned

Mar 14, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael W Gempel

Title

Co-Owner

Phone

(561) 847-4654

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1245656263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GATEWAY BLVD",
            "address_2": "SUITE 401",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268347",
            "telephone_number": "561-847-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GATEWAY BLVD",
            "address_2": "SUITE 401",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268347",
            "telephone_number": "561-847-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE AGE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "GEMPEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "561-847-4654"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary CC., LLC
• Pulmonary Specialist of Boynton Beach
• Pulmonology and Sleep Center LLC
• Milaidis Pupo Garcia
• Pure Age Management LLC
• Stanford Purnell III
• Glenroy Anthony Purrier, RPH
• Anton Philip Pustaver, M.ED./ED.S, LMHC
• Rachel J. Pyngolil, M.D.
• QSH/Central Florida, LLC (Grand Villa of Boynton Beach)

• Internal Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.