NPIMap

Organization Active NPI

Pure Healthcare of Florida LLC

  • Multi-Specialty Clinic/Center
  • Bonita Springs, FL
National Provider Identifier
1093308397
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE HEALTHCARE OF FLORIDA LLC
Practice address
28420 Bonita Crossings Blvd Unit 100
Bonita Springs, FL 34135-3203
Phone
(239) 235-0385
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Fraga
Title
Contracting Manager
Phone
(801) 921-6325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

28420 Bonita Crossings Blvd Unit 100
Bonita Springs, FL 34135-3203

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (855) 550-3358

Other practice location 1

1680 The Greens Way Ste 200A
Jacksonville Beach, FL 32250-1422
Phone (904) 821-7390

Other practice location 2

8360 Sierra Meadows Blvd Ste 100
Naples, FL 34113-7328
Phone (239) 744-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210415000893 FL Part B Supplier - Clinic/Group Practice 8729496500 Receives reassigned benefits from 9 practitioners
Practice locations: Bonita Springs, FL; Jacksonville Beach, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

8360 Sierra Meadows Blvd
Ste 100
Naples, FL 34113
Phone (239) 624-1900

8360 Sierra Meadows Blvd
#100
Naples, FL 34113
Phone (239) 744-2175

8360 Sierra Meadows Blvd
#200
Naples, FL 34113

8360 Sierra Meadows Blvd
Ste 200
Naples, FL 34113
Phone (239) 744-2175

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1093308397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "855-550-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28420 BONITA CROSSINGS BLVD UNIT 100",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353203",
            "telephone_number": "239-235-0385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 The Greens Way Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322501422",
            "country_code": "US",
            "telephone_number": "904-821-7390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8360 Sierra Meadows Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341137328",
            "country_code": "US",
            "telephone_number": "239-744-2175",
            "fax_number": "239-307-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE HEALTHCARE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "801-921-6325"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.