Organization
DIRECT QUALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTISIA BUNTON (AR)
(813) 858-5732
Entity
Organization
Contact information
Practice address
7402 N 56TH ST STE 450, TAMPA, FL 33617-7728
(813) 858-5732
Mailing address
7402 N 56TH ST STE 450, TAMPA, FL 33617-7728
(813) 858-5732
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689419
—
FL
Enumeration date
10/25/2017
Last updated
04/23/2025
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