Organization Active NPI

Thrivewell Primary Care of Florida LLC

Doing business as Thrivewell Primary Care

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1902611205
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.