OPTUMCARE FLORIDA, LLC (NPI# 1043687072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043687072 |
| Entity Type | Organization |
| Organization Name | OPTUMCARE FLORIDA, LLC |
| Other Organization Name | DAVITA MEDICAL GROUP |
| Practice Address |
2727 W Dr Mlk Blvd Suite 850 Tampa FL 33607-6383 |
| Mailing Address |
10051 5th Street N. Suite 200 St. Petersburg FL 33702 |
| Practice Telephone | 8138712717 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | JOHN G. LIETHEN (SECRETARY) |
| Authorized Official Telephone | 9522056262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME81584 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| DaVita Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659749943 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 406 W Bloomingdale Ave, Brandon, FL 33511-7402 | 2015-09-03 |
| 1558681460 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19 Ste A, New Port Richey, FL 34652-4945 | 2010-06-03 |
| 1245390475 | Optumcare Florida, LLC | Pharmacy | 3665 W Waters Ave, Tampa, FL 33614-2783 | 2006-12-11 |
| 1063572295 | Optumcare Florida, LLC | Pharmacy | 4757 Us Highway 19, New Port Richey, FL 34652-4945 | 2006-12-11 |
| 1659884294 | Optumcare Florida, LLC | Hospitalist | 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 | 2017-11-06 |
| 1558739847 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 1933 W Lumsden Rd, Brandon, FL 33511-8819 | 2015-09-03 |
| 1780051714 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 931 10th St E, Palmetto, FL 34221-4131 | 2015-08-25 |
| 1912374943 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 7240 W Colonial Dr, Orlando, FL 32818-6749 | 2015-08-25 |
| 1356737399 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 3675 W Waters Ave, Tampa, FL 33614-2783 | 2015-04-07 |
| 1972997823 | Optumcare Florida, LLC | Non-Pharmacy Dispensing Site | 5534 Cortez Rd W, Bradenton, FL 34210-2817 | 2015-03-27 |
| Street Address |
2727 W DR MLK BLVD SUITE 850 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073571188 | Yvonne Zakkay | Internal Medicine | 2727 W Dr Mlk Blvd, Ste 630, Tampa, FL 33607-6383 | 2006-05-01 |
| 1659625945 | John Steven Coffman | Anesthesiologist Assistant | 2727 W Dr Mlk Blvd, Suite 310, Tampa, FL 33607-6383 | 2012-11-08 |
| 1609101641 | Premier Ob Gyn of Tampa LLP | Obstetrics & Gynecology | 2727 W Dr Mlk Blvd, Suite 630, Tampa, FL 33607-6383 | 2009-10-08 |
| 1225290851 | Behavioral Health Management Services, Inc. | Clinic/Center | 2727 W Dr Mlk Blvd, Suite 640, Tampa, FL 33607-6383 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | 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.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700393881 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 1901 Fletcher Avenue, Tampa, FL 33612 | 2018-01-10 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1891154498 | Florida Urology Partners, LLP | Non-Pharmacy Dispensing Site | 1 Davis Blvd Ste 604, Tampa, FL 33606-3480 | 2016-02-11 |
| 1275762163 | Marathon Health Care Services of Florida Pa | Non-Pharmacy Dispensing Site | 8125 Highwoods Palm Way, C/o Syniverse, Tampa, FL 33647-1776 | 2009-07-13 |
| 1922148022 | Tampa Eye Clinic Optical Center | Non-Pharmacy Dispensing Site | 3000 Dr M L King Jr Blvd, Tampa, FL 33607 | 2007-02-07 |
| 1396763934 | Continucare Medical Management, Inc. | Non-Pharmacy Dispensing Site | 200 S Macdill Ave, Suite 100, Tampa, FL 33609-3131 | 2006-07-18 |
| 1285279430 | Florida Urology Partners LLP | Non-Pharmacy Dispensing Site | 601 S Armenia Ave, Tampa, FL 33609-4123 | 2019-11-12 |
| 1619463825 | Florida Medical Clinic LLC | Non-Pharmacy Dispensing Site | 602 S Howard Ave, Tampa, FL 33606-2413 | 2018-07-11 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1760852776 | Tampa Pain Relief Center, Inc | Non-Pharmacy Dispensing Site | 3000 Medical Park Dr Ste 510, Tampa, FL 33613-6602 | 2015-10-02 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.