OPTUMCARE FLORIDA, LLC is a non pharmacy dispensing site in Seffner, FL. The provider is 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.) OPTUMCARE FLORIDA, LLC NPI is 1023402088. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Medical Group.
The provider's business location address is:
770 W DR MARTIN LUTHER KING JR BLVD
SEFFNER, FL
ZIP 33584-534
Phone: (813) 654-7005
The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.
The CLIA number assigned to this NPI record is 10D0702390 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/26/2015 and was last updated on 8/19/2019.