Organization · Type 2 NPI
Thrivewell Functional Pediatrics
Medical Physician Assistant · St. Petersburg, FL
NPI number
1619807153
Active
Practice location
1321 46th Ave NE
St. Petersburg, FL 33703-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1619807153
Thrivewell Functional Pediatrics's National Provider Identifier is 1619807153, issued on May 19, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on May 19, 2026.