BAY AREA DIRECT CLIENT CARE LLC

Q: What is Bay Area Direct Client Care LLC's NPI number?

The NPI number for Bay Area Direct Client Care LLC is 1356835862. It was assigned to this organization in the NPPES registry on June 18, 2018.

Q: What is Bay Area Direct Client Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical & Laboratory Immunology, with taxonomy code 207RI0001X.

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About Bay Area Direct Client Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY AREA DIRECT CLIENT CARE LLC (NPI 1356835862) is a healthcare organization registered as a clinical & laboratory immunology in Brandon, Florida and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Ruskin and lists Deshae Martin, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1356835862

Entity TypeOrganization

Primary Taxonomy207RI0001X

Legal Business NameBAY AREA DIRECT CLIENT CARE LLC

Location Address110 LITHIA PINECREST RD STE BBrandon, FL 33511-5300

Mailing Address2105 Roanoke Springs DrRuskin, FL 33570-6312

Phone(813) 679-5122

Organization SubpartNo

Authorized OfficialDeshae MartinAdministrative Director · (813) 585-7708

Enumeration DateJune 18, 2018

Last NPPES UpdateJune 11, 20215 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1356835862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Clinical & Laboratory ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0001X

Definition

An internal medicine physician who specializes in clinical and laboratory immunology disease management.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

110 LITHIA PINECREST RD STE B, Brandon, FL 33511

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Secondary Practice Location 1

Location 12105 Roanoke Springs DrRuskin, FL 33570 · Phone (813) 679-5122

Other Identifiers 1

Medicaid025147900FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAY AREA DIRECT CLIENT CARE LLC

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