PURE Executive Health & Wellness
- PRP Therapy
- IV Therapy
- Hyperbaric Oxygen Therapy (HBOT)
- Oxygen Therapy
- Peptide Therapy
Coral Gables, FL
Coral Gables is one of South Florida's highest-income submarkets, and its IV therapy scene reflects that. Clinics cluster along Miracle Mile, Ponce de Leon Boulevard, and the Merrick Park area, often embedded within dermatology, plastic surgery, or longevity medicine practices. The University of Miami Miller School and the UHealth clinical corridor sit adjacent, supplying many medical directors. Florida is a reduced-practice state for nurse practitioners, so Coral Gables IV clinics typically operate under a physician medical director with RNs administering through standing orders. The clientele skews executive, Latin American second-home owners, and a steady flow of UM faculty and graduate students. Concierge in-home drip services are common, delivering to residences in Gables Estates, Cocoplum, and Pinecrest. NAD+, glutathione, and high-dose vitamin C are the dominant premium protocols.
Regulatory context
FDA regulates the compounded ingredients used in IV therapy and the facilities that prepare them. Patient-specific compounded IVs fall under FDCA Section 503A, while bulk preparations for office use fall under Section 503B (outsourcing facilities). USP Chapter 797 governs sterile compounding standards. FDA has issued warnings about injectable glutathione marketed for skin lightening (2017) and has not approved NAD IV for any specific indication. Vitamin and mineral IV mixtures such as the Myers cocktail are compounded preparations and are not FDA-approved drug products.
The Florida medical and nursing boards have addressed unlicensed practice in medical spa and IV lounge settings. Common enforcement themes include IV therapy administered without a valid physician order, stale or missing standing orders, absence of a designated medical director, and unlicensed personnel performing venipuncture. Boards have reiterated that a prescribing physician or APRN must establish a bona fide patient relationship before any IV protocol is initiated, and that standing orders must be specific, dated, and periodically reviewed. The Florida Department of Health has investigated IV hydration lounges for operating without a designated medical director and for unlicensed personnel starting IVs.