Pure Life Medical Group Llc | |
1306 Se 46th Ln Ste 3 Cape Coral FL 33904-8647 | |
(239) 269-8767 | |
Not Available |
Full Name | Pure Life Medical Group Llc |
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Speciality | Family Medicine |
Location | 1306 Se 46th Ln Ste 3, Cape Coral, Florida |
Authorized Official Name and Position | Yenisleydis Padron (CEO) |
Authorized Official Contact | 2392698767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pure Life Medical Group Llc 1306 Se 46th Ln Ste 3 Cape Coral FL 33904-8647 Ph: (239) 269-8767 | Pure Life Medical Group Llc 1306 Se 46th Ln Ste 3 Cape Coral FL 33904-8647 Ph: (239) 269-8767 |
NPI Number | 1275250433 |
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Provider Enumeration Date | 10/27/2022 |
Last Update Date | 11/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275250433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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