Organization Active NPI

Valrico Medical Care, P.a.

  • General Practice Physician
  • Brandon, FL
National Provider Identifier
1205025277
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS0003202 Issued in FL
Legal business name
VALRICO MEDICAL CARE, P.A.
Doing business as
Valrico Medical Care, P.A.
Practice address
143 N Oakwood Ave
Brandon, FL 33510-4629
Phone
(813) 685-4617
Fax
(813) 685-7105
NPI assigned
Oct 16, 2007
Last updated
Jul 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Dipak Shah, M.D.NPI 1295703064
Title
Physician
Phone
(813) 265-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X OS0003202 FL Primary

Addresses

Primary practice location

143 N Oakwood Ave
Brandon, FL 33510-4629

Mailing address

143 N Oakwood Ave
Brandon, FL 33510-4629
Phone (813) 685-4617

Other names 1

  • Valrico Medical Care, P.A. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1205025277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N OAKWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-685-4617",
            "fax_number": "813-685-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N OAKWOOD AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104629",
            "telephone_number": "813-685-4617",
            "fax_number": "813-685-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALRICO MEDICAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-265-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0003202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valrico Medical Care, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.