Graduated: 2021
NPI: 1740341924
Practice Locations (2)
THRIVING LANE
4933 TAMIAMI TRL N, SUITE 200
NAPLES, FL 341033028
3478307720
THRIVING LANE
2801 BUFORD HWY NE, SUITE T10
ATLANTA, GA 303292149
3478307720
Source: CMS National Downloadable File, September 2026.