Organization
TOWN N COUNTRY MEDICAL CARE LLC
Active
Other names
Shital Mehta
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHITAL MEHTA DO (OWNER)
(813) 486-6442
Entity
Organization
Contact information
Practice address
6107 MEMORIAL HWY STE A, TAMPA, FL 33615-4564
(813) 514-2328
(813) 514-2485
Mailing address
6107 MEMORIAL HWY STE A, TAMPA, FL 33615-4564
(813) 514-2328
(813) 514-2485
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861460610
—
FL
Enumeration date
03/12/2021
Last updated
03/12/2021
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