Provider Demographics
NPI:1447961982
Name:PURIFOY, LATONYA
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:
Last Name:PURIFOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 W STRONG ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-7122
Mailing Address - Country:US
Mailing Address - Phone:850-221-4171
Mailing Address - Fax:
Practice Address - Street 1:121 2ND ST APT 2205
Practice Address - Street 2:
Practice Address - City:CENTURY
Practice Address - State:FL
Practice Address - Zip Code:32535-3037
Practice Address - Country:US
Practice Address - Phone:850-512-3473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy