# VALRICO MEDICAL CARE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valrico Medical Care, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205025277
- **Authorized official:** DR. DIPAK SHAH M.D. (PHYSICIAN)
- **Authorized official phone:** (813) 265-2066

## Contact information

- **Practice address:** 143 N OAKWOOD AVE, BRANDON, FL 33510-4629
- **Practice address phone:** (813) 685-4617
- **Practice address fax:** (813) 685-7105
- **Mailing address:** 143 N OAKWOOD AVE, BRANDON, FL 33510-4629
- **Mailing address phone:** (813) 685-4617
- **Mailing address fax:** (813) 685-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS0003202 | FL | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 07/29/2010