# PURA VIDA MEDICAL SUPPLIES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023026150
- **Authorized official:** MR. ORLANDO CLAUSELL (PRESIDENT)
- **Authorized official phone:** (305) 238-3464

## Contact information

- **Practice address:** 15715 S DIXIE HWY, SUITE418, MIAMI, FL 33157-1800
- **Practice address phone:** (305) 238-3464
- **Practice address fax:** (305) 238-3494
- **Mailing address:** 210 NW 107TH AVE, APT 203, MIAMI, FL 33172-7817
- **Mailing address phone:** (305) 238-3464
- **Mailing address fax:** (305) 238-3494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 07/21/2022