Organization
THRIVE MD WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STODDARD (MANAGER/OWNER)
(904) 885-4635
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 659-3336
(904) 265-2465
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 659-3336
(904) 265-2465
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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