OPTUMCARE FLORIDA, LLC (NPI# 1912374943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912374943 |
Entity Type | Organization |
Organization Name | OPTUMCARE FLORIDA, LLC |
Other Organization Name | JSA MEDICAL GROUP- WEST COLONIAL |
Practice Address |
7240 W Colonial Dr Orlando FL 32818-6749 |
Mailing Address |
10051 5th Street N. St. Petersburg FL 33702 |
Practice Telephone | 4072962273 |
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 | ME74038 | FL | Suppliers |
Other Name | Type Code |
---|---|
DaVita Medical Group | Doing Business As Name - Organization |
JSA Medical Group- West Colonial | 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 |
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 |
7240 W COLONIAL DR |
City | ORLANDO |
State | FL |
Zip Code | 32818-6749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376508648 | Julius Garner | Family Medicine | 7240 W Colonial Dr, Orlando, FL 32818-6749 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285275206 | Shareen Sutherland | Nurse Practitioner | 1896 Lake Hill Circle, Orlando, FL 32818 | 2019-10-01 |
1235611245 | Welcome Home Wellness Center LLC | Clinic/Center | 7732 Silver Star Rd Ste 2, Orlando, FL 32818 | 2018-09-06 |
1245712603 | Palm Coast Urgent Care | General Practice | 6388 Silver Star Rd Suite 1c, Orlando, FL 32818 | 2018-09-02 |
1598283418 | 2 Heart To Heart Group Home, Inc | Homemaker | 6617 Kristin Ct, Orlando, FL 32818 | 2017-08-30 |
1508383159 | Adancia Sainte Ducleron | Behavior Technician | 8315 Snowfire Dr, Orlando, FL 32818 | 2017-08-24 |
1891210910 | Eddie L. Banks Jr. | Counselor | 2724 Silkwood Cir., 927, Orlando, FL 32818 | 2017-08-09 |
1275077018 | Mirlande Nelson | Specialist | 501 W Colonial Dr, Orlando, FL 32818 | 2016-12-13 |
1477906782 | Adrain Yvette Lee | Nurse Practitioner | 6388 Silver Star Rd Ste 2b, Orlando, FL 32818 | 2016-07-21 |
1013389659 | Jessica Jocelyn | Speech-Language Pathologist | 6727 Meritmoor Circle, Orlando, FL 32818 | 2015-10-22 |
1104226745 | Emmanuella Delorme | Behavior Technician | 7225 Woodridge Park Dr, 8102, Orlando, FL 32818 | 2014-09-02 |
Find all providers in zip 32818 |
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 |
---|---|---|---|---|
1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
1508301870 | Cvs Pharmacy Inc | Non-Pharmacy Dispensing Site | 8201 Chancellor Dr, Orlando, FL 32809-7657 | 2016-12-22 |
1619390457 | Central Florida Internists Inc | Non-Pharmacy Dispensing Site | 431 N Kirkman Rd, Orlando, FL 32811-1105 | 2014-01-30 |
1841517778 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 630 North Bumby Ave., Orlando, FL 32803 | 2010-05-03 |
1780871798 | Adventist Health Systems Sunbelt | Non-Pharmacy Dispensing Site | 8014 Conroy-windermere Road, Suite 104, Orlando, FL 32835 | 2007-10-03 |
1649354275 | Pain Center of Orlando | Non-Pharmacy Dispensing Site | 225 W State Rd 434 205, Orlando, FL 32750 | 2006-10-24 |
1427681527 | Dedicated Senior Medical Centers of Florida, LLC | Non-Pharmacy Dispensing Site | 690 S Goldenrod Rd, Orlando, FL 32822-8108 | 2020-02-17 |
1417460668 | Mutual Family Health, LLC | Non-Pharmacy Dispensing Site | 8865 Commodity Cir, Orlando, FL 32819 | 2017-11-09 |
1609305804 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 7714 E Colonial Dr, Orlando, FL 32807-8422 | 2017-06-09 |
1508218496 | Dr. Mark Bornstein Wc Pharmacy | Non-Pharmacy Dispensing Site | 701 E Michigan St, Orlando, FL 32806-4623 | 2016-07-05 |
Find all providers in ORLANDO |
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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.