Provider Demographics
NPI:1699903369
Name:THRIVE ENTERPRISES, INC
Entity type:Organization
Organization Name:THRIVE ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPECIALI
Authorized Official - Phone:407-637-5891
Mailing Address - Street 1:1008 WILLA SPRINGS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5205
Mailing Address - Country:US
Mailing Address - Phone:407-637-5891
Mailing Address - Fax:407-636-6205
Practice Address - Street 1:1008 WILLA SPRINGS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5205
Practice Address - Country:US
Practice Address - Phone:407-637-5891
Practice Address - Fax:407-636-6205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2511332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment