Healthcare Provider Details

I. General information

NPI: 1699573204
Provider Name (Legal Business Name): WE THRIVE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 DR MARTIN LUTHER KING BLVD # 3
FORT MYERS FL
33916-4608
US

IV. Provider business mailing address

12653 ASTOR PL
FORT MYERS FL
33913-2603
US

V. Phone/Fax

Practice location:
  • Phone: 239-402-8668
  • Fax: 239-310-2850
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALYSON LEWIS SANCHIOUS
Title or Position: CEO
Credential: MD
Phone: 239-402-8668