Pure IV Health & Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PURE IV HEALTH & WELLNESS LLC

Practice address

4600 Military TRL Ste 110
Jupiter, FL 33458-4811

Phone

(561) 774-3443

Fax

(561) 630-6011

NPI assigned

Oct 25, 2018

Last updated

Oct 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Skylar S Milord

Title

Ceo

Phone

(561) 774-3443

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1396212684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17977 KEYLIME BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-774-3443",
            "fax_number": "561-630-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584811",
            "telephone_number": "561-774-3443",
            "fax_number": "561-630-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE IV HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "MILORD",
        "authorized_official_first_name": "SKYLAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-774-3443"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #0401)
• Publix Super Markets Inc (Publix Pharmacy #0638)
• Marie Pulcino, COTA/L
• Gayle Gerardi Pulice, L.M.T.
• Peter Akins Pullon, D.D.S.
• Purformance Wellness Pharmacy LLC (Seven Cells)
• Jaideep Puri, M.D.
• Brittany Myra Purnell
• Sara Putt
• Bozena Puzio-Payne, PA-C

• Internal Medicine Physician in Jupiter, FL
• Providers in Jupiter, 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 Oct 26, 2018; 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.