PURE LIFE RENAL OF NAPLES, LLC (NPI# 1942776893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942776893 |
| Entity Type | Organization |
| Organization Name | PURE LIFE RENAL OF NAPLES, LLC |
| Practice Address |
3540 Pine Ridge Rd Naples FL 34109-3928 |
| Mailing Address |
4000 Hollywood Blvd Ste 300n Hollywood FL 33021-1242 |
| Practice Telephone | 9549625733 |
| Mailing Telephone | 9549625733 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | JEFF FERNANDEZ (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9549625733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
3540 PINE RIDGE RD |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934762 | Usrc Uptown Naples LLC | Clinic/Center | 2700 Immokalee Rd Ste 22, Naples, FL 34110-1436 | 2016-06-30 |
| 1134437213 | Ara Naples South Dialysis Center LLC | Clinic/Center | 4270 Tamiami Trl E, Suite 1, Naples, FL 34112-6718 | 2010-09-22 |
| 1821178534 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 E. Tamiami Trail, #121, Naples, FL 34113 | 2006-10-17 |
| 1912019779 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 Tamiami Trl E, Ste 121, Naples, FL 34113-8424 | 2006-08-31 |
| 1992817753 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1750 Sw Health Pkwy, Suite 1, Naples, FL 34109-0518 | 2006-08-31 |
| 1942244710 | Ara-naples Dialysis Center LLC | Clinic/Center | 4529 Executive Dr, Naples, FL 34119-8884 | 2006-06-15 |
| 1033164033 | Isd Renal Inc | Clinic/Center | 6625 Hillway Cir, Naples, FL 34112-8756 | 2006-05-24 |
| 1326016130 | Dva Renal Healthcare, Inc. | Clinic/Center | 661 9th St N, Naples, FL 34102-8132 | 2006-03-08 |
| 1205075389 | Naples Home Dialysis LLC | Clinic/Center | 6101 Pine Ridge Rd, Desk 32, Naples, FL 34119-3900 | 2009-02-12 |
| 1972628782 | North Naples Dialysis LLC | Clinic/Center | 1750 Sw Health Pkwy, Naples, FL 34109-0420 | 2007-03-20 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.