THRIVE SPA NPI 1396288635

NPI Information

  • NPI: 1396288635
  • Provider Name: THRIVE SPA
  • Classification: Nutritionist - 133N00000X
  • Entity Type: Organization
  • Doing Business As: THRIVEX
  • Address: 2166 WILTON DR
    WILTON MANORS, FL
    ZIP 33305
  • Phone: (954) 441-4244

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NPI Details

THRIVE SPA is a nutritionist in Wilton Manors, FL. The provider is a specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. THRIVE SPA NPI is 1396288635. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thrivex.

The provider's business location address is:

2166 WILTON DR
WILTON MANORS, FL
ZIP 33305-107
Phone: (954) 441-4244

The provider's authorized official is Mary Van .
The authorized official title is Director Of Operations and has the following contact phone number (954) 557-7401.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationME83875FLORIDANo
2363A00000XPhysician AssistantPA9104055FLORIDANo
3133N00000XNutritionistPS35134FLORIDAYes

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This page was last updated on: 11/21/2025

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