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OPTUMCARE FLORIDA LLC NPI 1558681460


NPI Information

NPI: 1558681460
Provider Name: OPTUMCARE FLORIDA, LLC

Doing Business As: DAVITA MEDICAL GROUP, PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
4757 US HIGHWAY 19 STE A
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 849-9373
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OPTUMCARE FLORIDA, LLC is a specialty pharmacy pharmacy in New Port Richey, FL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. OPTUMCARE FLORIDA, LLC NPI is 1558681460. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Medical Group, Pharmacy.

The provider's business location address is:

4757 US HIGHWAY 19 STE A
NEW PORT RICHEY, FL
ZIP 34652-945
Phone: (727) 849-9373
Fax: (727) 815-1203

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 enumeration date for this NPI number is 6/3/2010 and was last updated on 8/19/2019.


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 Taxonomy Specialization License Number License State Primary
13336S0011XPharmacySpecialty PharmacyPH24634FLORIDAYes

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
15700198OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 5/5/2024

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