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Organization
CONNECT & THRIVE
Active
Organization
CONNECT & THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBETT ESTEPHANIE GARCIA RN (CHIEF EXECUTIVE OFFICER)
(408) 422-7119
Entity
Organization
Contact information
Practice address
628 NW 47TH TER, DEERFIELD BEACH, FL 33442-9337
(408) 422-7119
Mailing address
628 NW 47TH TER, DEERFIELD BEACH, FL 33442-9337
(408) 422-7119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
—
NULL
163WA2000X
Administrator Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
12/02/2024
Last updated
07/19/2025
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