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Organization
PURE IV HEALTH & WELLNESS LLC
Active
Organization
PURE IV HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKYLAR S MILORD (CEO)
(561) 774-3443
Entity
Organization
Contact information
Practice address
4600 MILITARY TRL STE 110, JUPITER, FL 33458-4811
(561) 774-3443
(561) 630-6011
Mailing address
17977 KEYLIME BLVD, LOXAHATCHEE, FL 33470
(561) 774-3443
(561) 630-6011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/25/2018
Last updated
10/26/2018
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