MEDICARE: REAL DIRECT CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1265399893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAL DIRECT CARE PLLC

Provider Business Mailing Address
First Line	:	4973 CREEKSIDE PARK AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-6465
Country	:	US
Telephone Number	:	407-538-1061
Fax Number	:

Provider Business Practice Location Address
First Line	:	4973 CREEKSIDE PARK AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-6465
Country	:	US
Telephone Number	:	407-538-1061
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANIKA WOODSON
Credential	:	ARNP-C
Telephone Number	:	407-538-1061

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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