Bay Area Direct Client Care LLC

Organization Active
NPI 1356835862
Clinical & Laboratory Immunology (Internal Medicine) Physician Brandon, FL

NPI 1356835862 belongs to Bay Area Direct Client Care LLC, a clinical & laboratory immunology (internal medicine) physician with a practice location in Brandon, FL. The NPI was issued on June 18, 2018, and the record was last updated in NPPES on June 11, 2021. The record lists 7 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical & Laboratory Immunology (Internal Medicine) Physician Primary 207RI0001X Not listed
Home Health Agency 251E00000X Not listed
Nursing Care Agency 251J00000X Not listed
Nursing Facility/Intermediate Care Facility 313M00000X Not listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Not listed
Day Training/Habilitation Specialist 373H00000X (FL)
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Not listed

Practice locations

110 Lithia Pinecrest Rd Ste B
Brandon, FL 33511-5300
Phone: (813) 679-5122
2105 Roanoke Springs Dr
Ruskin, FL 33570
Phone: (813) 679-5122

Local context

Active NPPES records list 2 providers with clinical & laboratory immunology (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 7 in Florida and 42 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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