| NPI | 1356926240 |
|---|---|
| Doing Business As | SHITAL MEHTA |
| Entity Type | Organization |
| Authorized Contact | SHITAL MEHTA Owner 813-486-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |