Organization
THRIVE INTEGRATED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE BERVEN DC (PRESIDENT)
(813) 968-3500
Entity
Organization
Contact information
Practice address
6534 GUNN HWY, TAMPA, FL 33625-4022
(813) 968-3500
(813) 968-3555
Mailing address
6534 GUNN HWY, TAMPA, FL 33625-4022
(813) 968-3500
(813) 968-3555
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003466000
—
FL
Enumeration date
04/25/2019
Last updated
04/25/2019
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