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Organization
VALRICO MEDICAL CARE, P.A.
Active
Organization
VALRICO MEDICAL CARE, P.A.
Active
Other names
Valrico Medical Care, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPAK SHAH M.D. (PHYSICIAN)
(813) 265-2066
Entity
Organization
Contact information
Practice address
143 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 685-4617
(813) 685-7105
Mailing address
143 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 685-4617
(813) 685-7105
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS0003202
FL
Other
Enumeration date
10/16/2007
Last updated
07/29/2010
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