OPTUMCARE FLORIDA, LLC (NPI# 1790845923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790845923 |
| Entity Type | Organization |
| Organization Name | OPTUMCARE FLORIDA, LLC |
| Other Organization Name | DAVITA MEDICAL GROUP |
| Practice Address |
2465 N Mcmullen Booth Rd Clearwater FL 33759-1368 |
| Mailing Address |
10051 5th Street N. St. Petersburg FL 33702 |
| Practice Telephone | 7277240303 |
| Practice Fax Number | 7277914290 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-08-19 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13722 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2009743 | 01 | |
| FL | 030841200 | 05 |
| 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 |
| 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 |
| Street Address |
2465 N MCMULLEN BOOTH RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931724 | Denis S Malfant | Family Medicine | 2465 N Mcmullen Booth Rd, Clearwater, FL 33759-1368 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1407418809 | Marlene Shaker | Pharmacy | 1590 N Mcmullen Booth Rd Ste K4, Clearwater, FL 33759-2544 | 2019-07-05 |
| 1841749520 | Invotex LLC | Pharmacy | 28821 Us Highway 19 N, Clearwater, FL 33761-2583 | 2016-09-23 |
| 1194185512 | Quier Pharmacy LLC | Pharmacy | 130 E Ross St Ste 111, Clearwater, KS 67026-7833 | 2016-02-26 |
| 1891168589 | Baycare Urgent Care, LLC | Pharmacy | 3351 N Mcmullen Booth Rd., Clearwater, FL 33761-2014 | 2015-11-04 |
| 1164864039 | J&k Care LLC | Pharmacy | 756 N Belcher Rd, Clearwater, FL 33765-2138 | 2013-07-21 |
| 1831458868 | St Luke Pharmacy Corp | Pharmacy | 2019 Gulf To Bay Blvd, Clearwater, FL 33765-3703 | 2012-05-11 |
| 1982764197 | Bales Pharmacy, Inc. | Pharmacy | 116 East Ross St, Clearwater, KS 67026-7821 | 2006-12-11 |
| 1801990882 | Holiday Cvs LLC | Pharmacy | 1 S Missouri Ave, Clearwater, FL 33756-5760 | 2006-09-12 |
| 1487758330 | Holiday Cvs LLC | Pharmacy | 3765 Ulmerton Rd, Clearwater, FL 33762-4209 | 2006-09-12 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
Please comment or provide details below to improve the information on OPTUMCARE FLORIDA, LLC.
| 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.