Provider Demographics
NPI:1538611785
Name:STRIVE HEALTHCARE LLC
Entity type:Organization
Organization Name:STRIVE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMELT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:904-501-5031
Mailing Address - Street 1:1093 A1A, BEACH BLVD
Mailing Address - Street 2:PMB 261
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-6733
Mailing Address - Country:US
Mailing Address - Phone:904-501-5031
Mailing Address - Fax:904-824-2226
Practice Address - Street 1:165 SILVER LN
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-3922
Practice Address - Country:US
Practice Address - Phone:904-930-4351
Practice Address - Fax:904-212-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLB0UQOOtherFL BLUE