PURE AGE MANAGEMENT LLC NPI 1669832341

NPI Information

  • NPI: 1669832341
  • Provider Name: PURE AGE MANAGEMENT LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1054 GATEWAY BLVD
    SUITE 103
    BOYNTON BEACH, FL
    ZIP 33426
  • Phone: (561) 847-4654

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NPI Details

PURE AGE MANAGEMENT LLC is an internal medicine in Boynton Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PURE AGE MANAGEMENT LLC NPI is 1669832341. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1054 GATEWAY BLVD
SUITE 103
BOYNTON BEACH, FL
ZIP 33426-301
Phone: (561) 847-4654
Fax: (561) 847-4956

The provider's authorized official is Karl E Vaeth .
The authorized official title is Owner/managing Partner and has the following contact phone number (561) 225-9922.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9106969FLORIDANo
2207RI0001XInternal MedicineClinical & Laboratory ImmunologyME83769FLORIDANo
32083B0002XPreventive MedicineObesity MedicineME83769FLORIDANo
42083T0002XPreventive MedicineMedical ToxicologyME83769FLORIDANo
5291U00000XClinical Medical Laboratory10D2100646FLORIDANo
6207R00000XInternal MedicineME83769FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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