| Entity Name: | VALRICO MEDICAL CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Nov 1981 (43 years ago) |
| Document Number: | F51872 |
| FEI/EIN Number | 592132260 |
| Address: | 143 NORTH OAKWOOD AVE., BRANDON, FL, 33510 |
| Mail Address: | 143 NORTH OAKWOOD AVE., BRANDON, FL, 33510 |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205025277 | 2007-10-16 | 2010-07-29 | 143 N OAKWOOD AVE, BRANDON, FL, 335104629, US | 143 N OAKWOOD AVE, BRANDON, FL, 335104629, US | |||||||||||||||||||
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| Phone | +1 813-685-4617 |
| Fax | 8136857105 |
Authorized person
| Name | DR. DIPAK SHAH |
| Role | PHYSICIAN |
| Phone | 8132652066 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | OS0003202 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE CHARLES A | Agent | 201 NORTH FRANKLIN STREET, TAMPA, FL, 33602 |
| Name | Role | Address |
|---|---|---|
| SHAH DIPAK | President | 14701 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| SHAH DIPAK | Secretary | 14701 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| SHAH DIPAK | Treasurer | 14701 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| SHAH DIPAK | Director | 14701 NORTH FLORIDA AVENUE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| NAME CHANGE AMENDMENT | 2008-01-03 | VALRICO MEDICAL CARE, P.A. | No data |
| CORPORATE MERGER | 1993-12-29 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. CORPORATE MERGER NUMBER 900000002849 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
