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OPTUMCARE SOUTH FLORIDA LLC NPI 1922492883


NPI Information

NPI: 1922492883
Provider Name: OPTUMCARE SOUTH FLORIDA, LLC

Doing Business As: HEALTHCARE PARTNERS SOUTH FLORIDA LLC

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 10D0858344

Address:
9750 NW 33RD ST
SUITE 212
CORAL SPRINGS, FL
ZIP 33065
Phone: (954) 755-5504
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OPTUMCARE SOUTH FLORIDA, LLC is a non pharmacy dispensing site in Coral Springs, 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 SOUTH FLORIDA, LLC NPI is 1922492883. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthcare Partners South Florida Llc.

The provider's business location address is:

9750 NW 33RD ST
SUITE 212
CORAL SPRINGS, FL
ZIP 33065-042
Phone: (954) 755-5504

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 10D0858344 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2015 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
1332900000XNon-Pharmacy Dispensing SiteME94617FLORIDAYes

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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