| Essential Integrative Medicine Llc | |
|
3715 W Azeele St Tampa FL 33609-2807 | |
| (813) 253-0711 | |
| (813) 253-0411 |
| Full Name | Essential Integrative Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 3715 W Azeele St, Tampa, Florida |
| Authorized Official Name and Position | Tan Thang Tran (PRESIDENT) |
| Authorized Official Contact | 8132530711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Integrative Medicine Llc 3715 W Azeele St Tampa FL 33609-2807 Ph: (813) 253-0711 | Essential Integrative Medicine Llc 3715 W Azeele St Tampa FL 33609-2807 Ph: (813) 253-0711 |
| NPI Number | 1134470255 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134470255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME 84580 (Florida) | Secondary |
| 208D00000X | General Practice | OS10332 (Florida) | Primary |
| 208D00000X | General Practice | PA 9104287 (Florida) | Secondary |
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