Organization
TAMPA BAY DIRECT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIKA L STEWART APRN (DIRECTOR OF CLINICAL SERVICES)
(813) 519-5180
Entity
Organization
Contact information
Practice address
410 S WARE BLVD STE 825, TAMPA, FL 33619-4469
(813) 519-5180
(209) 290-3512
Mailing address
410 S WARE BLVD STE 825, TAMPA, FL 33619-4469
(813) 519-5180
(209) 290-3512
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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