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Contact Information

THRIVE BEHAVIORAL SCIENCES ORLANDO LLC
4700 MILLENIA BLVD STE 500
ORLANDO, FL32839-6019
 Phone: 813-467-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THRIVE BEHAVIORAL SCIENCES ORLANDO LLC

NPI # 1063979730
LBN Legal business name THRIVE BEHAVIORAL SCIENCES ORLANDO LLC
Authorized official JOLENE DE LA GARDELLE - (VP OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2019
Last updated 08/16/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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