Organization
THRIVING LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMA RATHI MD (CEO)
(347) 830-7720
Entity
Organization
Contact information
Practice address
4933 TAMIAMI TRL N STE 200, NAPLES, FL 34103-3028
(347) 830-7720
(561) 948-2803
Mailing address
200 2ND AVE S STE 356, SAINT PETERSBURG, FL 33701-4313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/05/2021
Last updated
11/22/2023
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