Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tampa Healthy Aging, Inc

Organization General Practice Physician · NPI 1881002533

Tampa Healthy Aging, Inc provides General Practice Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15417 N Dale Mabry Hwy
Tampa, FL 33618-1822 Not confirmed with CMS for 12 years — call before visiting
Phone: (813) 963-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence OS 5939 (FL)

Record details

NPI number1881002533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Granell — Owner · (813) 963-7500
NPI enumeratedJuly 25, 2014
Last updated in NPPESJuly 25, 2014
Mailing address15417 N Dale Mabry Hwy, Tampa, FL 33618-1822

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