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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