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

Pure Renewal Regenerative Concierge Medicine LLC

Organization Clinic/Center · NPI 1386503860

Pure Renewal Regenerative Concierge Medicine LLC is a Clinic/Center in Orlando, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

801 N Orange Ave Ste 710
Orlando, FL 32801-5202
Phone: (407) 333-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1386503860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osama Soudah — Mgr · (714) 476-6272
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address801 N Orange Ave Ste 710, Orlando, FL 32801-5202

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