PURA VIDA HEALTH INSTITUTE LLC NPI 1588315865

NPI Information

NPI: 1588315865
Provider Name: PURA VIDA HEALTH INSTITUTE LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 215 SUGARTOWN RD
WAYNE, PA
ZIP 19087
Phone: (215) 806-6270

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NPI Details

PURA VIDA HEALTH INSTITUTE LLC is a primary care clinic center in Wayne, PA. PURA VIDA HEALTH INSTITUTE LLC NPI is 1588315865. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

215 SUGARTOWN RD
WAYNE, PA
ZIP 19087-137
Phone: (215) 806-6270

The provider's authorized official is Christopher Mulholland .
The authorized official title is Owner and has the following contact phone number (215) 806-6270.

The enumeration date for this NPI number is 1/18/2022 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QS0010X	Family Medicine	Sports Medicine			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OS020055	OTHER	PENNSYLVANIA	PENNSYLVANIA DEPARTMENT OF STATE - PROFESSIONAL LICENSING BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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