OPTUMCARE FLORIDA LLC NPI 1053384214

NPI Information

NPI: 1053384214
Provider Name: OPTUMCARE FLORIDA, LLC

Doing Business As: OPTUM

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5130 SUNFOREST DR STE 300
TAMPA, FL
ZIP 33634
Phone: (727) 824-0780
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OPTUMCARE FLORIDA, LLC is a general practice in Tampa, FL. OPTUMCARE FLORIDA, LLC NPI is 1053384214. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Optum.

The provider's business location address is:

5130 SUNFOREST DR STE 300
TAMPA, FL
ZIP 33634-327
Phone: (727) 824-0780
Fax: (813) 514-8891

The provider's authorized official is Laurene Ann Dougherty .
The authorized official title is Svp Of Integration & Transformation and has the following contact phone number (727) 828-2322.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 11/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	207Q00000X	Family Medicine	FLORIDA	No
2	207R00000X	Internal Medicine	FLORIDA	No
3	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014498800	MEDICAID	FLORIDA
2	269895100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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