MEDICARE: THRIVE WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP2580	FL

General Provider Information

NPI Number	:	1659527687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE WELLNESS CENTER

Provider Business Mailing Address
First Line	:	1120 S FEDERAL HWY STE 1
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1231
Country	:	US
Telephone Number	:	954-719-6118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 S FEDERAL HWY STE 1
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1231
Country	:	US
Telephone Number	:	954-719-6118
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST PHYSICIAN
Name	:	FILIZ BAKIR
Credential	:	AP
Telephone Number	:	954-719-6118

Provider Enumeration Date	:	08/11/2008
Last Update Date	:	08/11/2008

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Directions to “THRIVE WELLNESS CENTER ” Practice Location

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