Healthcare Provider Details

I. General information

NPI: 1427976182
Provider Name (Legal Business Name): PUREFLOW LYMPHATICS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10177 SW 53RD CT
COOPER CITY FL
33328-5619
US

IV. Provider business mailing address

9789 MANTOVA DR
LAKE WORTH FL
33467-6152
US

V. Phone/Fax

Practice location:
  • Phone: 978-886-5397
  • Fax:
Mailing address:
  • Phone: 978-886-5397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT SOCKOL
Title or Position: FOUNDER/CEO
Credential: DPT
Phone: 978-886-5397