Organization · Type 2 NPI

Optumcare Florida, LLC

Non-Pharmacy Dispensing Site · Orlando, FL

NPI number 1912374943 Active

Practice location

7240 W Colonial Dr
Orlando, FL 32818-6749

Call (407) 296-2273 Map

Mailing address

10051 5th Street N.
St. Petersburg, FL 33702

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	ME74038 (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.)

Another provider at this address

Julius Garner, MDFamily Medicine Physician Orlando, FL NPI 1376508648

Other non-pharmacy dispensing site providers in Orlando

See all in Orlando →

NPI record

NPI: 1912374943
Entity type: Organization (Type 2)
Issued: Aug 25, 2015
Last updated: Aug 20, 2019
Status: Active

Other names

<unavail>
Davita Medical Group · doing business as
Jsa Medical Group- West Colonial · doing business as
Jsa Medical Group- West Colonial · 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.

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About NPI 1912374943

Optumcare Florida, LLC's National Provider Identifier is 1912374943, issued on Aug 25, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Orlando, FL. The record was last updated on Aug 20, 2019.