Organization Active NPI

Pure Health Primary Care Clinic LLC

  • Primary Care Clinic/Center
  • Clermont, FL
National Provider Identifier
1982406112
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PURE HEALTH PRIMARY CARE CLINIC LLC
Practice address
17323 Pagonia Rd Unit 227
Clermont, FL 34711-5997
Phone
(352) 604-3211
Fax
(833) 740-3775
NPI assigned
Mar 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Drena Marie Hayes, APRNNPI 1285386623
Title
Family Nurse Practitioner
Phone
(386) 214-5611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

17323 Pagonia Rd Unit 227
Clermont, FL 34711-5997

Mailing address

2128 Valencia Blossom St
Clermont, FL 34711-9576
Phone (386) 214-5611

Other names 1

  • Pure Health Primary Care Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2343300Pure Health Primary Care Clinic LLC17323 Pagonia Rd Unit 227, Clermont, FL 34711Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

17323 Pagonia Rd
Unit 227
Clermont, FL 34711

Practitioners & affiliated clinicians

Practitioners 1

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": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1982406112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 VALENCIA BLOSSOM ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119576",
            "telephone_number": "386-214-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 PAGONIA RD UNIT 227",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115997",
            "telephone_number": "352-604-3211",
            "fax_number": "833-740-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH PRIMARY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DRENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "386-214-5611",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.