Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pure Life Medical Group LLC

Organization Family Medicine Physician · NPI 1275250433

Pure Life Medical Group LLC is a Family Medicine Physician in Cape Coral, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3637 Del Prado Blvd S Ste 305
Cape Coral, FL 33904-7199
Phone: (239) 269-8767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275250433
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yenisleydis Padron — Ceo · (239) 269-8767
Other names Pure Life Medical Center
NPI enumeratedOctober 27, 2022
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address3637 Del Prado Blvd S Ste 305, Cape Coral, FL 33904-7199

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