OrganizationActive
Essential Integrative Medicine LLC
NPI 1134470255 · General Practice Physician · Tampa, FL
Provider details
- NPI number
- 1134470255
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tan Tran, President(813) 253-0711
- License
- ME 84580 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3715 W Azeele St
Tampa, FL 33609-2807
Phone: (813) 253-0711
Fax: (813) 253-0411
Street-level locationGet directions
Mailing address
3715 W Azeele St
Tampa, FL 33609-2807
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2015-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.