# CONNECT & THRIVE

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

## Provider details

- **NPI number:** 1891511127
- **Authorized official:** IBETT ESTEPHANIE GARCIA RN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (408) 422-7119

## Contact information

- **Practice address:** 628 NW 47TH TER, DEERFIELD BEACH, FL 33442-9337
- **Practice address phone:** (408) 422-7119
- **Mailing address:** 628 NW 47TH TER, DEERFIELD BEACH, FL 33442-9337
- **Mailing address phone:** (408) 422-7119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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