OrganizationActive
Tampa Healthy Aging, Inc.
NPI 1881002533 · General Practice Physician · Tampa, FL
Provider details
- NPI number
- 1881002533
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Granell, Owner(813) 963-7500
- License
- OS 5939 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
15417 N Dale Mabry Hwy
Tampa, FL 33618-1822
Phone: (813) 963-7500
Street-level locationGet directions
Mailing address
15417 N Dale Mabry Hwy
Tampa, FL 33618-1822
Registry dates
- Enumerated
- 2014-07-25
- Last updated
- 2014-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.