Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Thrivewell Lifestyle Medicine PA

Organization Family Medicine Physician · NPI 1780407254

Thrivewell Lifestyle Medicine PA provides Family Medicine Physician services in Daytona Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

817 Bama Breeze Dr
Daytona Beach, FL 32124-3799
Phone: (386) 488-1449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1780407254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Pitts — Owner · (386) 488-1449
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address817 Bama Breeze Dr, Daytona Beach, FL 32124-3799

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