Thrivewell Medical Llc | |
1719 E Commercial Blvd Oakland Park FL 33334-5737 | |
(754) 900-8663 | |
Not Available |
Full Name | Thrivewell Medical Llc |
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Speciality | General Practice |
Location | 1719 E Commercial Blvd, Oakland Park, Florida |
Authorized Official Name and Position | Jessica Chen (CHIEF HEALTH AND WELLNESS OFFICER) |
Authorized Official Contact | 7862393402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thrivewell Medical Llc 1719 E Commercial Blvd Oakland Park FL 33334-5737 Ph: () - | Thrivewell Medical Llc 1719 E Commercial Blvd Oakland Park FL 33334-5737 Ph: (754) 900-8663 |
NPI Number | 1386472827 |
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Provider Enumeration Date | 07/25/2024 |
Last Update Date | 07/25/2024 |
Medicare PECOS PAC ID | 1355872052 |
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Medicare Enrollment ID | O20241005000029 |
Identifier | Type | State | Issuer |
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1386472827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jessica Elizabeth Chen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447451851 PECOS PAC ID: 2567500978 Enrollment ID: I20091104000694 |
Provider Name | Gordon L Chen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912108317 PECOS PAC ID: 1456535665 Enrollment ID: I20110413000520 |
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