OrganizationActive
Pure Life Renal of West Palm Beach, LLC
NPI 1013482215 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · West Palm Beach, FL
Provider details
- NPI number
- 1013482215
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeff Fernandez, Chief Financial Officer(954) 962-5733
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1522 N Dixie Hwy
West Palm Beach, FL 33401-2720
Phone: (954) 962-5733
Street-level locationGet directions
Mailing address
4000 Hollywood Blvd Ste 300n
Hollywood, FL 33021-1242
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.