Organization · Type 2 NPI

Optumcare Florida, LLC

Non-Pharmacy Dispensing Site · Ruskin, FL

NPI number 1437496882 Active

Practice location

733 Cortaro Dr
Ruskin, FL 33573-6812

Call (813) 634-2500 Map

Mailing address

10051 5th Street North
St. Petersburg, FL 33702-2299

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	ME83064 (FL)

Non-Pharmacy Dispensing Site: 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.)

4 other providers at this address

NPI record

NPI: 1437496882
Entity type: Organization (Type 2)
Issued: Jan 4, 2013
Last updated: Aug 19, 2019
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Jsa Medical Group Sun City Center · doing business as
Jsa Medical Group Sun City Center · doing business as

Authorized official

John G. Liethen
Secretary
(952) 205-6262

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1437496882

Optumcare Florida, LLC's National Provider Identifier is 1437496882, issued on Jan 4, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ruskin, FL. The record was last updated on Aug 19, 2019.