Healthcare Provider Details

I. General information

NPI: 1235849795
Provider Name (Legal Business Name): THRIVE MIDWIFERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2022
Last Update Date: 11/24/2022
Certification Date: 11/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DARTMOUTH AVE N
SAINT PETERSBURG FL
33713-7817
US

IV. Provider business mailing address

2525 DARTMOUTH AVE N
SAINT PETERSBURG FL
33713-7817
US

V. Phone/Fax

Practice location:
  • Phone: 813-418-7186
  • Fax: 813-669-5739
Mailing address:
  • Phone: 813-418-7186
  • Fax: 813-669-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: ROWAN CHRISTINE SMITH
Title or Position: LICENSED MIDWIFE
Credential: LM, CPM
Phone: 330-416-5845