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

Advanced Integrative Medicine of Tampa Bay LLC

Organization Family Medicine Physician · NPI 1578350872

Advanced Integrative Medicine of Tampa Bay LLC provides Family Medicine Physician services in Trinity, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1806 Short Branch Dr Ste 101
Trinity, FL 34655-4426
Phone: (904) 338-5442
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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 number1578350872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Malone — Owner · (904) 338-5442
NPI enumeratedApril 22, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing addressPo Box 1015, Odessa, FL 33556-1015

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