Whalio Doctors

NPI 1033503099

Optumcare Florida, LLC

Organisation Non-Pharmacy Dispensing Site Largo, FL

Practice location

Address
1345 W Bay Dr Suite 202, Largo, FL 33770-2282
Phone
(727) 559-0895
Mailing address
10051 5th Street N., St. 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 ME86502 (FL)

Registry record

NPI
1033503099
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.