Organization
THRIVE BEHAVIORAL SCIENCES - SOUTH FLORIDA, LLC
Active
Other names
Thrive Behavioral Sciences, SLRC Miami Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE DE LA GARDELLE (VP OPERATIONS)
(813) 725-4991
Entity
Organization
Contact information
Practice address
601 BRICKELL KEY DR, MIAMI, FL 33131-2662
(727) 418-2567
Mailing address
5510 N HESPERIDES ST, TAMPA, FL 33614-5414
(813) 467-6111
(813) 467-6099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
11/03/2020
Last updated
04/18/2023
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