# PURE LIFE GROUP SERVICES,CORP.

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

## Provider details

- **NPI number:** 1639245145
- **Authorized official:** MARIA L MARINA (PRESIDENT)
- **Authorized official phone:** (305) 642-8830

## Contact information

- **Practice address:** 1393 SW 1ST ST, SUITE 207, MIAMI, FL 33135-2321
- **Practice address phone:** (305) 642-8830
- **Practice address fax:** (305) 642-8831
- **Mailing address:** 1393 SW 1ST ST, SUITE 207, MIAMI, FL 33135-2321
- **Mailing address phone:** (305) 642-8830
- **Mailing address fax:** (305) 642-8831

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020