NPI 1659749943
Optumcare Florida, LLC
Practice location
- Address
- 406 W Bloomingdale Ave, Brandon, FL 33511-7402
- Phone
- (813) 653-1880
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- John G. Liethen
- Title
- Secretary
- Phone
- (952) 205-6262
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1659749943
- 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.