Organization
THRIVE BEHAVIORAL SCIENCES ORLANDO LLC
Active
Organization
THRIVE BEHAVIORAL SCIENCES ORLANDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE DE LA GARDELLE (VP OPERATIONS)
(813) 277-4571
Entity
Organization
Contact information
Practice address
4700 MILLENIA BLVD STE 500, ORLANDO, FL 32839-6019
(813) 467-6111
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 277-4571
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
08/16/2024
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