Organization
BAY AREA DIRECT CLIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAE MARTIN (CHIEF EXECUTIVE OFFICER)
(813) 679-5122
Entity
Organization
Contact information
Practice address
115 MARGARET ST STE D, BRANDON, FL 33511-5257
(813) 679-5122
Mailing address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
08/12/2024
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