Valrico Medical Clinic, PA

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME83318 Issued in FL

Legal business name

VALRICO MEDICAL CLINIC, PA

Practice address

3119 Lithia Pinecrest Rd
Valrico, FL 33596-5632

Phone

(813) 643-3242

NPI assigned

Sep 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sydney Shaw

Title

Office Manager

Phone

(813) 643-3242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1083801609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965632",
            "telephone_number": "813-643-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 LITHIA PINECREST RD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965632",
            "telephone_number": "813-643-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALRICO MEDICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-643-3242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME83318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "13136",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Dale Unger, APRN, LMHC, ED.D.
• Unique Dermatology & Wellness Center PA
• Avegille Tabelon Uy, PT
• Valrico Brandon Medical Group,Inc
• Valrico Family Chiropractic, LLC
• Isabel Marie Vargas
• Sonia Varghese, ARNP, FNP-BC
• Sharda M Vekariya, APRN
• Oscar David Velez-Holvino, MD
• Suzanne Ventura, PTA

• Legal Medicine in Valrico, FL
• Providers in Valrico, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.