MEDICARE: THRIVEWELL IV THERAPY LLC

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	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1649143314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVEWELL IV THERAPY LLC

Provider Business Mailing Address
First Line	:	33 MAGOTHY BEACH RD STE 104
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4467
Country	:	US
Telephone Number	:	410-591-5998
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 MAGOTHY BEACH RD STE 104
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4467
Country	:	US
Telephone Number	:	410-591-5998
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWARD ALEXANDROWICZ
Credential	:
Telephone Number	:	410-591-5998

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	09/27/2025

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