Organization
PURE ENTERPRISES LLC
Active
Other names
Pure Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO J ORDUZ (MANAGER)
(305) 297-8583
Entity
Organization
Contact information
Practice address
633 NE 167TH ST, SUITE 1125, NORTH MIAMI BEACH, FL 33162-2442
(305) 297-8583
Mailing address
633 NE 167TH ST, SUITE 1125, NORTH MIAMI BEACH, FL 33162-2442
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1301
FL
Other
Enumeration date
10/04/2016
Last updated
07/21/2022
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