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Organization
PURE LIFE MEDICAL GROUP LLC
Active
Organization
PURE LIFE MEDICAL GROUP LLC
Active
Other names
Pure Life Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
YENISLEYDIS PADRON (CEO)
(239) 269-8767
Entity
Organization
Contact information
Practice address
3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL 33904-7199
(239) 269-8767
Mailing address
3637 DEL PRADO BLVD S STE 305, CAPE CORAL, FL 33904-7199
(239) 269-8767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
01/20/2026
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