Whalio Doctors

NPI 1023402088

Optumcare Florida, LLC

Organisation Non-Pharmacy Dispensing Site Seffner, FL

Practice location

Address
770 W Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4534
Phone
(813) 654-7005
Mailing address
10051 5th St. North, Saint Petersburg, FL 33702

Authorised official

Name
John G. Liethen
Title
Secretary
Phone
(952) 205-6262

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence OS8544 (FL)

Registry record

NPI
1023402088
Entity type
Organization
NPI issued
26 Mar 2015
Record last updated
19 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.