Organization
BAY AREA CAPITAL MANAGEMENT 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
2429 DAKOTA ROCK DR, RUSKIN, FL 33570-6387
(813) 585-7708
Mailing address
110 LITHIA PINECREST RD STE B, BRANDON, FL 33511-5300
(813) 679-5122
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
04/26/2025
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