PURE HEALTHCARE OF FLORIDA LLC – Multi-Specialty Clinic/Center, NPI 1093308397
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PURE HEALTHCARE OF FLORIDA LLC
4179 S RIVERBOAT RD STE 220
TAYLORSVILLE, UT 841232986
Phone: (855) 550-3358
Type: Mailing
28420 BONITA CROSSINGS BLVD UNIT 100
BONITA SPRINGS, FL 341353203
Phone: (239) 235-0385
Type: Location
1680 The Greens Way Ste 200A
Jacksonville Beach, FL 322501422
Phone: (904) 821-7390
Type: Location
8360 Sierra Meadows Blvd Ste 100
Naples, FL 341137328
Phone: (239) 744-2175
Fax: (239) 307-2681
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (108 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210415000893 | O | Clinic/Group Practice | FL | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84123)
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