Organization
CITRUS PARK MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIPAK SHAH MD (OWNER)
(813) 265-2066
Entity
Organization
Contact information
Practice address
6328 GUNN HWY, TAMPA, FL 33625-4122
(813) 964-8526
(813) 964-8536
Mailing address
6328 GUNN HWY, TAMPA, FL 33625-4122
(813) 964-8526
(813) 964-8536
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME50876
FL
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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