| Thrive Wellness And Primary Care, Llc | |
|
1025 Military Trl Ste 211 Jupiter FL 33458-7040 | |
| (561) 406-3082 | |
| (561) 658-2616 |
| Full Name | Thrive Wellness And Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1025 Military Trl Ste 211, Jupiter, Florida |
| Authorized Official Name and Position | Amanda Graham (OWNER) |
| Authorized Official Contact | 5614063082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Wellness And Primary Care, Llc 1025 Military Trl Ste 211 Jupiter FL 33458-7040 Ph: (561) 406-3082 | Thrive Wellness And Primary Care, Llc 1025 Military Trl Ste 211 Jupiter FL 33458-7040 Ph: (561) 406-3082 |
| NPI Number | 1912602491 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 09/30/2023 |
| Medicare PECOS PAC ID | 1951766336 |
|---|---|
| Medicare Enrollment ID | O20230509000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912602491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amanda Lynn Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710503875 PECOS PAC ID: 8426473505 Enrollment ID: I20200806001543 |
| Provider Name | Jaime Elizabeth Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669246625 PECOS PAC ID: 2668810128 Enrollment ID: I20240402004434 |
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