ESSENTIAL INTEGRATIVE MEDICINE LLC
Osteopathic Medicine at Azeele St, Tampa, FL

License number
Florida OS10332
Category
Osteopathic Medicine
Type
General Practice
License number
Florida PA 9104287
Category
Osteopathic Medicine
Type
General Practice
License number
Florida ME 84580
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. TAN THANG TRAN D.C.
Title: PRESIDENT
Phone: (813) 253-0711
Address
Address
3715 W Azeele St, Tampa, FL 33609
National Provider ID: 1134470255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ESSENTIAL INTEGRATIVE MEDICINE LLC at bizstanding.com

ESSENTIAL INTEGRATIVE MEDICINE, LLC

3715 W Azeele St, Tampa, FL 33609

Status:
Inactive
Inactive reason:
Lc Name Change
Registration:
Sep 13, 2012
Inactive since:
Dec 31, 2012
State ID:
L12000117345
Business type:
Florida Limited Liability Company
S:
Tan Tran (Managing Member), 3715 W Azeele St, Tampa, FL 33609 (Physical),Thang V Tran, 3715 W Azeele St, Tampa, FL 33609 (Physical)
Agent:
Tran, Tan,3715 W Azeele St, Tampa, FL 33609 (Physical)
EIN:
46-0992045

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