Introduction

PURE Executive Health & Wellness is the leading concierge medicine practice in Coral Gables, Florida, serving executives, business leaders, founders, and ultra–high–net–worth families across Miami–Dade with truly private, membership-based primary care. This model, called concierge medicine, involves a doctor or group of doctors charging a membership fee for access to their services, which may include amenities not covered by Medicare. Amenities, such as enhanced access, personalized care, and additional services, are included as part of the membership but are typically not covered by Medicare. Concierge medicine originated with MD² International, founded in 1996 in Seattle by Dr. Howard Maron and Dr. Scott Hall, who aimed to provide luxury primary care services similar to those offered to professional athletes. By 2000, there were only a handful of concierge medicine providers in the United States, but by 2010, this number had grown to over 5,000 physicians practicing under this model. From 2012 to 2018, a biennial survey conducted by the Physicians Foundation found that between 4.5% and 8.8% of physicians planned to switch to a concierge model each time the survey was conducted. From our flagship at 4100 Salzedo Street, we deliver same-day physician access, next-generation diagnostics, and an unhurried white-glove experience that traditional medicine simply cannot replicate. Concierge medicine often includes same-day or next-day appointments and direct 24/7 access to physicians, allowing for extensive health discussions. Patients who choose concierge medicine value convenience, preventive planning, and immediate continuity of care due to smaller patient loads for physicians. However, the concierge medicine model has been criticized for promoting a two-tiered health system that favors wealthier patients, potentially limiting access for those who cannot afford membership fees. Critics argue that concierge medicine can threaten equitable access to healthcare by diverting physicians from public practices and may worsen primary care shortages.

PURE’s structure as an organization allows for a highly personalized approach to care, tailored to the unique needs of each member. Well-informed articles published by industry experts play a significant role in shaping the understanding of executive healthcare models and the responsibilities of leaders within an organization.

On this page, you’ll learn what concierge medicine is, how PURE Executive Health & Wellness delivers this model in Coral Gables, and why it is especially valuable for busy professionals and families seeking premium, personalized healthcare.

What Concierge Medicine Means at PURE

Concierge medicine is a membership model that restores the physician–patient relationship to its original form: direct, personal, and immediate. Instead of 2,000+ patients per physician (the national average), our doctors care for a deliberately limited panel. That restraint is what allows 60–90 minute appointments, direct-to-physician texting, house calls inside Coral Gables and Coconut Grove, and the depth of prevention that catches issues years before they become diagnoses.

Membership at PURE is governed by a formal agreement or contract, which outlines the scope of services provided and the terms of the membership fee. Members are required to sign this agreement to formalize their commitment. The membership fee covers premium access and customer service, but is not reimbursed by insurance plans. Concierge medicine runs parallel to regular health insurance and does not replace it. Members at PURE receive a dedicated internist, a care coordinator, and a clinical team with distinct functions, each trained to anticipate needs before they surface. Whether you are running a portfolio, a PE fund, a public company, or a multi-generational family office, your healthcare is managed the way your other priorities are: quietly, competently, and on your schedule—mirroring the decision-making responsibilities of a president overseeing critical operations.

Why Coral Gables Executives Choose PURE

• 24/7 physician access by direct phone and text—no phone trees, no triage nurses, providing continuous care and peace of mind.

• Shorter waiting times, same-day and next-day appointments, starting and ending on time, ensuring prompt attention to your health needs.

• Exclusive amenities included with membership, such as personalized wellness plans, priority scheduling, and other perks not typically covered by Medicare.

• Comprehensive Executive Physicals completed in a single half-day visit.

• Advanced diagnostics on-site: DEXA body composition, VO2 max, CIMT, advanced cardiac and metabolic panels.

• Regenerative & performance therapies including IV nutrient therapy, NAD+, peptides, hyperbaric oxygen, and bioidentical hormone optimization.

• Coordination with top specialists at Mayo, Cleveland Clinic, Baptist Health, and Miami Cancer Institute when escalation is needed.

• House calls and travel medicine throughout Coral Gables, Coconut Grove, Pinecrest, Key Biscayne, Miami Beach, Brickell, and Fisher Island.

Concierge medicine practices are often concentrated in affluent urban or suburban markets, which may limit access for rural patients.

Our Coral Gables Physicians

PURE is a group of physicians—Dr. Jennifer Miranda (board-certified in Internal Medicine), Dr. Sudha Lolayekar, and Dr. David O’Connell—working together to provide concierge care. Together, they bring decades of hospital-based, academic, and concierge experience to a single practice built around prevention, longevity, and executive performance. By 2000, there were only a handful of concierge medicine providers in the United States, but by 2010, this number had grown to over 5,000 physicians practicing under this model.

Services Included With Membership

• Executive Physical Exam — a single-visit, top-to-bottom longevity assessment that makes it easy for members to find and access comprehensive evaluations.

• DEXA Body Composition Scan — precise muscle, fat, and bone density measurement, helping members quickly find detailed insights into their health.

• IV Nutrient Therapy — custom Myers’, immunity, recovery, and performance drips, all easy to find and schedule.

• NAD+ Therapy — cellular energy and cognitive performance support, conveniently found within your membership.

• Hyperbaric Oxygen Therapy — recovery, inflammation, and tissue repair, with services members can easily find and utilize.

• Peptide Therapy — targeted regenerative and metabolic protocols, accessible for members to find as part of their care.

• Bioidentical Hormone Replacement — for men and women, fully titrated and easy to find through your concierge membership.

Please note: Some services may not be covered by insurance or Medicare, and patients are responsible for costs associated with services not covered under their plan or membership. Relevant laws and regulations may apply to membership fees and healthcare agreements, so it is important to understand your rights and obligations. Concierge practices may still bill health insurance for standard medical procedures such as laboratory testing and specialist referrals.

Concierge medicine is often compared to direct primary care (DPC), a healthcare model that bypasses traditional insurance and allows patients to pay their physicians directly for comprehensive and preventive services. Unlike concierge medicine, DPC generally does not involve membership fees for additional services. The concierge medicine business model also incorporates a focus on sales and value delivery, integrating business functions to enhance the member experience.

Coral Gables Service Area

PURE’s flagship is at 4100 Salzedo Street, Suite 4, Coral Gables, FL 33146, five minutes from Merrick Park and ten minutes from Brickell. We actively serve members across Coral Gables, Coconut Grove, Pinecrest, Key Biscayne, Miami Beach, Brickell, Fisher Island, Star Island, Indian Creek, Gables Estates, Cocoplum, and Palmetto Bay.

PURE provides resources, maps, and information for residents and visitors to help them access healthcare services in Coral Gables. We also engage with the community through local events and initiatives to stay connected and support our neighbors.

Concierge Care vs. Traditional Primary Care

There are distinct differences between concierge medicine and traditional primary care. A traditional primary care visit averages 7–15 minutes and is shaped by insurance coding rather than clinical depth. A PURE visit is 60–90 minutes, covers prevention and optimization in addition to acute care, and is designed to produce a written plan you actually execute on. Our physicians call you back personally, coordinate your specialist care, and proactively reach out when labs, imaging, or wearables suggest a trend worth addressing.

Quality of Care and Outcomes

Concierge medicine, often referred to as boutique medicine or direct care, is renowned for delivering exceptional quality of care and superior health outcomes. By intentionally limiting the number of patients in each practice, doctors in Coral Gables can dedicate more time and attention to every individual. This personalized approach allows for comprehensive preventive care, early detection of health issues, and tailored treatment plans that address each patient’s unique needs. For example, patients who enroll in concierge medicine programs in the City Beautiful frequently report better management of chronic conditions and a noticeable improvement in their overall health. The city’s culture of wellness and its reputation as a premier location for health-focused living make Coral Gables an ideal setting for boutique medicine to flourish. Reports consistently show that patients in these practices experience higher satisfaction, fewer hospitalizations, and a stronger ability to connect with their healthcare providers—demonstrating the tangible benefits of direct care in this vibrant city.

Patient Testimonials and Reviews

Patients in Coral Gables who have chosen concierge medicine consistently highlight the value of direct access to their doctors and the peace of mind that comes with it. The ability to reach providers quickly for answers and support has transformed the healthcare experience for many, reducing stress and leading to better health outcomes. While the membership fee may initially seem like a significant investment, numerous patients report that the benefits—such as preventive care, personalized attention, and streamlined services—far outweigh the costs. In fact, some have found that they save money over time by avoiding unnecessary procedures and gaining more effective management of their health. As one executive patient shared, “The concierge medicine model has truly elevated my care. My doctor is always available, and I feel empowered to make informed decisions about my health.” With a robust network of providers and a strong emphasis on preventive care, Coral Gables stands out as a prime location for those seeking high-quality, patient-centered healthcare. The executive branch of government has even recognized the potential of concierge medicine, with discussions about incorporating its benefits into broader health insurance plans to improve outcomes and reduce overall costs for patients and providers alike.

Membership & Pricing

Membership is governed by an agreement or contract and is invitation- and application-based to preserve panel size and service quality. A private consultation with our membership team will walk you through individual, couple, and family options, including executive corporate programs for C-suites and partner groups.

Note: The annual retainer fee for concierge medicine typically ranges from $1,500 to $5,000 and is in addition to traditional health insurance premiums. Also note that these costs, including membership fees, are not covered by Medicare, which can limit access for some patients.

Please contact us or call (786) 227-6811 to begin.

Frequently Asked Questions

What is concierge medicine?

Concierge medicine, also known as concierge care, is a membership model in which a doctor or group of doctors charges patients an annual fee for access to their services, which may include amenities not covered by Medicare. Concierge medicine typically offers benefits such as 24/7 phone access, same-day appointments, short waiting times, and preventative health and wellness services. Doctors in concierge medicine typically manage only 300 to 600 patients compared to the thousands seen in standard practices, allowing for personalized and immediate care. This model emphasizes proactive and preventive care, focusing on long-term wellness and chronic disease management rather than just treating immediate symptoms. Concierge medicine provides enhanced primary care accessibility, long appointment times, and an emphasis on preventative care. This relationship is governed by an agreement or contract that outlines the specific services provided and the terms of the arrangement, including membership fees and legal protections.

How much does concierge medicine cost in Coral Gables?

Concierge practices in South Florida range widely. PURE’s membership includes comprehensive diagnostics, executive physicals, and 24/7 physician access; pricing is shared on a private consultation call.

Note: The annual retainer fee for concierge medicine typically ranges from $1,500 to $5,000 and is in addition to traditional health insurance premiums. These costs, including membership fees, are not covered by Medicare, which can limit access for some patients.

Does concierge medicine replace my health insurance?

No. Concierge medicine runs parallel to your existing health plan and does not replace it. Members keep their health insurance for specialists, imaging, hospitalization, and prescriptions. The membership fee covers premium access and customer service in the primary-care relationship and in-house services at PURE, but this fee is not reimbursed by your insurer or covered by Medicare. Medicare does not pay for concierge membership fees, and physicians practicing concierge medicine must still follow Medicare regulations. Additionally, some provider networks and insurers may have policies regarding physicians who charge membership or retainer fees, which can affect coverage or network participation.

Can I get same-day appointments?

Yes. Same-day and next-day visits are a core promise of the membership, along with direct physician text and phone access.

Do you offer house calls?

Yes. House calls are available across Coral Gables, Coconut Grove, Pinecrest, Key Biscayne, Miami Beach, Brickell, and Fisher Island for members when clinically appropriate.

What is included in the Executive Physical?

A full-body longevity assessment completed in a single half-day: advanced labs, cardiac screening, DEXA body composition, VO2 max, cancer screening guidance, metabolic and hormonal workup, and a written optimization plan.

Ready to experience concierge medicine in Coral Gables? Call (786) 227-6811 or request a private membership consultation.