PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC – NPI #1386503860
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1386503860 to PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC on January 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC below.

NPI Profile for
PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC

NPI Number
1386503860
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PURE RENEWAL REGENERATIVE CONCIERGE MEDICINE LLC
Primary location
801 N ORANGE AVE STE 710
ORLANDO, FL 32801-5202
Phone: (407) 333-0496 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OSAMA SOUDAH
MGR
Phone: (714) 476-6272
Updated
Certification Date
Jan 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.