OPTUMCARE FLORIDA, LLC


Address: 10051 5th St N Ste 200, St Petersburg, FL 33702-2211
Phone: 7278240780

OPTUMCARE FLORIDA, LLC (NPI# 1659884294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659884294
Entity Type Organization
Organization Name OPTUMCARE FLORIDA, LLC
Practice Address 10051 5th St N Ste 200
St Petersburg
FL 33702-2211
Practice Telephone 7278240780
Practice Fax Number 7275686011
Mailing Telephone 7278240780
Mailing Fax Number 7278951637
Enumeration Date 2017-11-06
Last Update Date 2019-12-30
Authorized Official Name LAURENE ANN DOUGHERTY (SR VP OF INTEGRATION & TRANSFORMAT)
Authorized Official Telephone 7278282322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 269895100 05
FL FLORIDA BLUE 33249 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
10051 5th St N Ste 200, St Petersburg, FL 337022211 7272864093 7275686011

Other Provider IDs and Locations

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
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
1043687072 Optumcare Florida, LLC Non-Pharmacy Dispensing Site 2727 W Dr Mlk Blvd, Suite 850, Tampa, FL 33607-6383 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

Office Location

Street Address 10051 5TH ST N STE 200
City ST PETERSBURG
State FL
Zip Code 33702-2211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518960905 Debra P. Figueroa Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2005-05-31
1275186256 Haylie Rae Frascatore Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2019-07-19
1134602766 Marigene G Hartker Internal Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2018-09-10
1922534684 Christelle T Nguyen Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-05-02
1457884249 Geeta Mehan Family Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-04-07
1215477161 Anika Toor Internal Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2017-02-26
1376900100 Katherine Elizabeth-mae Haynes Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2016-01-25
1427422872 Denise Tatem Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2015-11-23
1629498191 Daphne L Gardner Nurse Practitioner 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2014-04-23
1972923050 Jacqueline Young Internal Medicine 10051 5th St N Ste 200, St Petersburg, FL 33702-2211 2014-04-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700419637 Lea Diana Stemplewski Occupational Therapist 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 2020-02-19
1366919557 Svetlana Nagle Nurse Practitioner 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 2018-10-25
1457835613 Joseph Kirchmer Physical Therapy Assistant 7101 9th St N, St Petersburg, FL 33702 2018-09-23
1386135176 Valencia Gibson Behavior Technician 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 2018-05-29
1740778760 Nicole S Kapr Behavior Technician 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 2018-04-25
1003316050 Sonya Lesnefsky Behavior Technician 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 2018-02-16
1003315086 Erin Nicole Rogers Behavior Technician 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 2018-02-06
1881192482 Carrie Langbo Genetic Counselor, MS Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 2018-01-29
1891203485 Healthy Lifestyles Tampa Bay LLC Psychologist 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 2018-01-17
1649787235 Gurdeep Singh Behavior Technician 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 2018-01-04
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306289418 Andrew Buelt Hospitalist 6500 38th Ave N, St Petersburg, FL 33710-1629 2013-04-09
1598034811 Bay Sound Inpatient Services LLC Hospitalist 6500 38th Ave N, St Petersburg, FL 33710-1629 2011-12-15
1891925301 Nadine Azzi Hospitalist 1839 Central Ave, Professional Health Care of Pinellas, St Petersburg, FL 33713-8900 2009-07-17
1396789616 Bipan Kotwal Hospitalist 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701 2006-06-16
1164479820 Nektaria Paraskevopoulos Hospitalist 10000 Bay Pines Blvd, St Petersburg, FL 33744 2006-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053927632 Leonor Balart Hospitalist 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 2020-09-19
1114484813 Best Medical LLC Hospitalist 11604 Orange Palm Way, Tampa, FL 33626-4746 2019-02-28
1053878157 Hospitalists One, LLC Hospitalist 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 2019-02-25
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1538652979 Geobel Buchillon Hospitalist 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 2018-06-11
1619469483 Hospitalis10 Inc Hospitalist 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 2018-06-06
1013404706 Florida Medical Professionals LLC Hospitalist St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 2018-04-18
1467965947 Acure Medical Group Corp Hospitalist 1261 Sw 153rd Path, Miami, FL 33194-2678 2017-11-07
1760992317 Casey Miller Hospitalist 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 2017-10-10
1720598741 Gabrielle Mount Borrero Hospitalist 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 2017-10-04
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Competitor

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City ST PETERSBURG
Zip Code 33702

Improve Information

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Dataset Information

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.

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