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Organization

GRHT

Active
Other names
VIVE HYDRATON THEARPY
Organization subpart
No

Provider details

NPI number
Authorized official
TRISTAN OCONNELL (CEO)
(410) 340-5641
Entity
Organization

Contact information

Practice address
5050 GULF BLVD STE B, ST PETE BEACH, FL 33706-2417
(727) 755-8483
Mailing address
5050 GULF BLVD STE B, ST PETE BEACH, FL 33706-2417
(410) 340-5641

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/14/2026
Last updated
05/13/2026
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