Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pure Life Renal of West Palm Beach, LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1013482215

Pure Life Renal of West Palm Beach, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in West Palm Beach, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1522 N Dixie Hwy
West Palm Beach, FL 33401-2720
Phone: (954) 962-5733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1013482215
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Fernandez — Chief Financial Officer · (954) 962-5733
NPI enumeratedOctober 4, 2018
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020
Mailing address4000 Hollywood Blvd Ste 300n, Hollywood, FL 33021-1242

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