Individual
KAPIL PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 JUNIPER AVE, NICEVILLE, FL 32578-2218
(850) 279-4600
(850) 279-4566
Mailing address
PO BOX 524, NICEVILLE, FL 32588-0524
(850) 279-4600
(850) 279-4566
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
APP-000857284
OH
208800000X
Urology Physician
Primary
ME91106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270922800
—
FL
01
—
50070Y
MEDICARE ID TYPE UNSPECIFIED
FL
Enumeration date
08/22/2005
Last updated
02/15/2025
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