| Entity Name: | DIRECT QUALITY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2017 (7 years ago) |
| Document Number: | L17000179039 |
| FEI/EIN Number | 82-2566313 |
| Address: | 7402 N. 56TH STREET BUILDING 400, TAMPA, FL, 33617, US |
| Mail Address: | 7402 N. 56TH STREET BUILDING 400, TAMPA, FL, 33617, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154833549 | 2017-10-25 | 2017-10-25 | 3707 E HANNA AVE, TAMPA, FL, 336103756, US | 3707 E HANNA AVE, TAMPA, FL, 336103756, US | |||||||||||||||||||||
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| Phone | +1 813-858-5732 |
Authorized person
| Name | MARTISIA BUNTON |
| Role | AR |
| Phone | 8138585732 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 689419 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUNTON MARTISIA A | Agent | 7402 N. 56th street Building 400 Suite 450, TAMPA, FL, 33617 |
| Name | Role | Address |
|---|---|---|
| BUNTON MARTISIA A | Authorized Representative | 7402 N. 56TH STREET BUILDING 400, TAMPA, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-27 | 7402 N. 56th street Building 400 Suite 450, TAMPA, FL 33617 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-07 | 7402 N. 56TH STREET BUILDING 400, SUITE 450, TAMPA, FL 33617 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-07 | 7402 N. 56TH STREET BUILDING 400, SUITE 450, TAMPA, FL 33617 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-09-20 |
| Florida Limited Liability | 2017-08-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
