Organization
PURE ENTERPRISES, LLC
Active
Other names
PURE BEGINNINGS
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ORDUZ OWNER (OWNER)
(305) 297-8583
Entity
Organization
Contact information
Practice address
633 NE 167TH ST, SUITE 1125, NORTH MIAMI BEACH, FL 33162-2442
(305) 705-4375
Mailing address
633 NE 167TH ST, SUITE 1125, NORTH MIAMI BEACH, FL 33162-2442
(305) 705-4375
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
133840021301
FL
Other
Enumeration date
11/16/2016
Last updated
11/17/2016
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