Active NPI
Thrivewell Primary Care of Florida LLC
Doing business as Thrivewell Primary Care
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1902611205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THRIVEWELL PRIMARY CARE OF FLORIDA LLC
- Doing business as
- Thrivewell Primary Care
- Practice address
- 11008 N Dale Mabry Hwy
Tampa, FL 33618-3802 - Phone
- (813) 252-4496
- NPI assigned
- Feb 12, 2025
- Last updated
- Feb 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Chaudhry
- Title
- Owner
- Phone
- (813) 362-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
11008 N Dale Mabry Hwy
Tampa, FL 33618-3802
Mailing address
3039 Old Fulton PL
Brandon, FL 33510-8301
Other names 1
- Thrivewell Primary Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1902611205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 OLD FULTON PL",
"city": "BRANDON",
"state": "FL",
"postal_code": "335108301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11008 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336183802",
"telephone_number": "813-252-4496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVEWELL PRIMARY CARE OF FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "CHAUDHRY",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-362-8330"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thrivewell Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.