VALRICO MEDICAL CARE, P.A. (NPI# 1205025277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205025277 |
Entity Type | Organization |
Organization Name | VALRICO MEDICAL CARE, P.A. |
Other Organization Name | VALRICO MEDICAL CARE, P.A. |
Practice Address |
143 N Oakwood Ave Brandon FL 33510-4629 |
Practice Telephone | 8136854617 |
Practice Fax Number | 8136857105 |
Mailing Telephone | 8136854617 |
Mailing Fax Number | 8136857105 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2010-07-29 |
Authorized Official Name | DR. DIPAK SHAH (PHYSICIAN) |
Authorized Official Telephone | 8132652066 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | OS0003202 | FL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Valrico Medical Care, P.A. | Doing Business As Name - Organization |
Street Address |
143 N OAKWOOD AVE |
City | BRANDON |
State | FL |
Zip Code | 33510-4629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818073 | Brandon Medical Care | Internal Medicine | 143 N Oakwood Ave, Brandon, FL 33510-4629 | 2019-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
Find all providers in zip 33510 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
1609284330 | Telehealthone, LLC | General Practice | 1037 Lake Village Cir, Suite A, Brandon, MS 39047-6725 | 2014-07-25 |
1700149143 | Orlando Enrique Mieles | General Practice | 500 Vonderburg Dr Ste 305, Brandon, FL 33511-5976 | 2012-06-20 |
1871850412 | Zulayne Vera | General Practice | 813 S Parsons Ave, Brandon, FL 33511-6063 | 2012-04-20 |
1871535393 | Aida Cuascut-reyes | General Practice | 653 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-06-11 |
1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
1609853225 | Jorge L Acevedo Vazquez | General Practice | 501 Eichenfeld Dr, Ste 101, Brandon, FL 33511-5994 | 2005-12-23 |
1255325361 | Miguel Angel Mazariegos | General Practice | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2005-09-02 |
1386646750 | Maria Josefina Prieto | General Practice | 109 Margaret St, Brandon, FL 33511-5203 | 2005-08-15 |
Find all providers in BRANDON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.