Provider Demographics
NPI:1033865118
Name:THRIVE CHILDREN'S CENTER LLC
Entity Type:Organization
Organization Name:THRIVE CHILDREN'S CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MASSIMO
Authorized Official - Middle Name:
Authorized Official - Last Name:D AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:786-678-4572
Mailing Address - Street 1:205 SANTILLANE AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2907
Mailing Address - Country:US
Mailing Address - Phone:786-614-2410
Mailing Address - Fax:
Practice Address - Street 1:205 SANTILLANE AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2907
Practice Address - Country:US
Practice Address - Phone:786-614-2410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-26
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty