OrganizationActive
Advanced Integrative Medicine of Tampa Bay LLC
NPI 1578350872 · Family Medicine Physician · Trinity, FL
Provider details
- NPI number
- 1578350872
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Malone, Owner(904) 338-5442
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1806 Short Branch Dr Ste 101
Trinity, FL 34655-4426
Phone: (904) 338-5442
Street-level locationGet directions
Mailing address
Po Box 1015
Odessa, FL 33556-1015
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.