OPTUMCARE FLORIDA, LLC is a non pharmacy dispensing site in Tampa, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OPTUMCARE FLORIDA, LLC NPI is 1043687072. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Medical Group.
The provider's business location address is:
2727 W DR MLK BLVD
SUITE 850
TAMPA, FL
ZIP 33607-383
Phone: (813) 871-2717
The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.
The CLIA number assigned to this NPI record is 10D0916791 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/25/2015 and was last updated on 8/20/2019.