Healthcare Provider Details

I. General information

NPI: 1407108871
Provider Name (Legal Business Name): MICHAEL PURIFICATI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MICHAEL PURIFICATI D.C.

II. Dates (important events)

Enumeration Date: 10/10/2012
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 10TH AVE N
PALM SPRINGS FL
33461-3100
US

IV. Provider business mailing address

550 OKEECHOBEE BLVD APT 1102
WEST PALM BEACH FL
33401-6335
US

V. Phone/Fax

Practice location:
  • Phone: 845-978-7380
  • Fax:
Mailing address:
  • Phone: 845-978-7380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH 10760
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: