OrganizationActive
Bay Area Direct Client Care LLC
NPI 1356835862 · Clinical & Laboratory Immunology (Internal Medicine) Physician · Brandon, FL
Provider details
- NPI number
- 1356835862
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Deshae Martin, Administrative Director
Practice location
110 Lithia Pinecrest Rd Ste B
Brandon, FL 33511-5300
Phone: (813) 679-5122
Mailing address
2105 Roanoke Springs Dr
Ruskin, FL 33570-6312
Registry dates
- Enumerated
- 2018-06-18
- Last updated
- 2021-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.