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Organization
ADVANCED INTEGRATIVE MEDICINE OF TAMPA BAY LLC
Active
Organization
ADVANCED INTEGRATIVE MEDICINE OF TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MALONE DO (OWNER)
(904) 338-5442
Entity
Organization
Contact information
Practice address
1806 SHORT BRANCH DR STE 101, TRINITY, FL 34655-4426
(904) 338-5442
Mailing address
PO BOX 1015, ODESSA, FL 33556-1015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
05/05/2025
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