Tampa Bay Direct Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TAMPA BAY DIRECT CARE LLC

Practice address

410 S Ware Blvd Ste 825
Tampa, FL 33619-4469

Phone

(813) 519-5180

Fax

(209) 290-3512

NPI assigned

Feb 8, 2021

Last updated

Feb 8, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronnika L Stewart, APRN

Title

Director of Clinical Services

Phone

(813) 519-5180

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1649862970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 825",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194469",
            "telephone_number": "813-519-5180",
            "fax_number": "209-290-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 825",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194469",
            "telephone_number": "813-519-5180",
            "fax_number": "209-290-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY DIRECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RONNIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "813-519-5180",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.