# THRIVE INTEGRATED MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356905327
- **Authorized official:** DR. LYNETTE BERVEN DC (PRESIDENT)
- **Authorized official phone:** (813) 968-3500

## Contact information

- **Practice address:** 6534 GUNN HWY, TAMPA, FL 33625-4022
- **Practice address phone:** (813) 968-3500
- **Practice address fax:** (813) 968-3555
- **Mailing address:** 6534 GUNN HWY, TAMPA, FL 33625-4022
- **Mailing address phone:** (813) 968-3500
- **Mailing address fax:** (813) 968-3555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 04/25/2019
