| Town N Country Medical Care Llc | |
|
6107 Memorial Hwy Ste A Tampa FL 33615-4564 | |
| (813) 514-2328 | |
| (813) 514-2485 |
| Full Name | Town N Country Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6107 Memorial Hwy Ste A, Tampa, Florida |
| Authorized Official Name and Position | Shital Mehta (OWNER) |
| Authorized Official Contact | 8134866442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town N Country Medical Care Llc 6107 Memorial Hwy Ste A Tampa FL 33615-4564 Ph: (813) 514-2328 | Town N Country Medical Care Llc 6107 Memorial Hwy Ste A Tampa FL 33615-4564 Ph: (813) 514-2328 |
| NPI Number | 1356926240 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Medicare PECOS PAC ID | 4789066036 |
|---|---|
| Medicare Enrollment ID | O20220802003853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356926240 | NPI | - | NPPES |
| 1861460610 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shital R Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861460610 PECOS PAC ID: 0840281580 Enrollment ID: I20050225000403 |
| Provider Name | Parenkumar I Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760613012 PECOS PAC ID: 1658410295 Enrollment ID: I20120918000729 |
| Provider Name | Camila Avila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063899615 PECOS PAC ID: 4688967698 Enrollment ID: I20170612003019 |
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