PURE AGE MANAGEMENT LLC

BOYNTON BEACH, FL
NPI1669832341
Entity TypeOrganization
Authorized ContactKARL E VAETH
Owner/Managing Partner
561-225-9922
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME83769)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  PA9106969)
207RI0001X Internal Medicine, Clinical & Laboratory Immunology
(Licence: FL  ME83769)
2083B0002X Preventive Medicine, Obesity Medicine
(Licence: FL  ME83769)
2083T0002X Preventive Medicine, Medical Toxicology
(Licence: FL  ME83769)
291U00000X Clinical Medical Laboratory
(Licence: FL  10D2100646)
Enumeration Date2016-02-24
Last Update Date2016-02-24
Business Address
PURE AGE MANAGEMENT LLC
1054 GATEWAY BLVD SUITE 103
BOYNTON BEACH, FL 33426-8301
Phone number: 561-847-4654
Mailing Address
PURE AGE MANAGEMENT LLC
1054 GATEWAY BLVD SUITE 103
BOYNTON BEACH, FL 33426-8301
Phone number: 561-847-4654