NPI 1558739847
Optumcare Florida, LLC
Practice location
- Address
- 1933 W Lumsden Rd, Brandon, FL 33511-8819
- Phone
- (813) 653-3111
- 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
Registry record
- NPI
- 1558739847
- Entity type
- Organization
- NPI issued
- 3 Sep 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.