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THRIVEWELL PRIMARY CARE OF FLORIDA LLC - Florida Company Profile

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Company Details

Entity Name: THRIVEWELL PRIMARY CARE OF FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Feb 2025 (7 months ago)
Document Number: L25000074591
Address: 11008 N. DALE MABRY HWY, TAMPA, FL, 33618, UN
Mail Address: 3039 OLD FULTON PLACE, BRANDON, FL, 33510
ZIP code: 33618
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHAWN CHAUDHRY Agent 3039 OLD FULTON PLACE, BRANDON, FL, 33510
CHAUDHRY SHAWN Manager 11008 N. DALE MABRY HWY, TAMPA, FL, 33618

National Provider Identifier

NPI Number:
1902611205
Certification Date:
2025-02-12

Authorized Person:

Name:
SHAWN CHAUDHRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

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Date of last update: 01 Aug 2025

Sources: Florida Department of State