Organization
PURA VIDA MEDICAL CENTER, LLC
Active
Parent organization
PURA VIDA MEDICAL CENTER, LLC
Other names
Pura Vida Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PURA VIDA MEDICAL CENTER, LLC
Authorized official
MISS NURY CARBAJAL (CEO)
(305) 874-3909
Entity
Organization
Contact information
Practice address
15529 BULL RUN RD, MIAMI LAKES, FL 33014-7004
(305) 328-8922
(786) 224-6489
Mailing address
7925 NW 12TH ST STE 201, DORAL, FL 33126-1821
(305) 874-3909
(305) 874-3916
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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