# BAY AREA DIRECT CLIENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457196495
- **Authorized official:** DESHAE MARTIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (813) 679-5122

## Contact information

- **Practice address:** 115 MARGARET ST STE D, BRANDON, FL 33511-5257
- **Practice address phone:** (813) 679-5122
- **Mailing address:** 110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
- **Mailing address phone:** (813) 679-5122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 08/12/2024