Healthcare Provider Details

I. General information

NPI: 1932029287
Provider Name (Legal Business Name): CITY CHIROPRACTIC AND FUNCTIONAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
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 Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL PURIFICATI
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 845-978-7380