Davita Medical Group

LBN: Optumcare Florida, Llc
Davita Medical Group is an health care organization with primary practice located at 2727 W Dr Mlk Blvd Suite 850, Tampa FL 33607-6383. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Optumcare Florida, Llc can be contacted via phone (813) 871-2717, or through Liethen, John G. via phone (952) 205-6262.

Contact Information

Primary practice address
2727 W Dr Mlk Blvd Suite 850 Tampa FL 33607-6383
Phone: (813) 871-2717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liethen, John G.
Phone: (952) 205-6262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X ME81584 Florida

Profile Details

NPI number 1043687072
LBN Legal business name Optumcare Florida, Llc
DBA Doing business as Davita Medical Group
Authorized official Liethen, John G.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2015
Last updated Aug 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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