OPTUMCARE FLORIDA, LLC (NPI# 1033503099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033503099 |
| Entity Type | Organization |
| Organization Name | OPTUMCARE FLORIDA, LLC |
| Other Organization Name | DAVITA MEDICAL GROUP |
| Practice Address |
1345 W Bay Dr Suite 202 Largo FL 33770-2282 |
| Mailing Address |
10051 5th Street N. St. Petersburg FL 33702 |
| Practice Telephone | 7275590895 |
| Enumeration Date | 2015-03-26 |
| 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 |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME86502 | 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 |
| 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 |
1345 W BAY DR SUITE 202 |
| City | LARGO |
| State | FL |
| Zip Code | 33770-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225010275 | Joann M Howell | Nurse Practitioner | 1345 W Bay Dr, Ste 301, Largo, FL 33770-2282 | 2005-11-16 |
| 1861929788 | Christopher John Baietto | Physical Therapist | 1345 W Bay Dr, Largo, FL 33770-2282 | 2017-05-23 |
| 1376089649 | Ability Health Services and Rehabilitation Lp | Clinic/Center | 1345 W Bay Dr, Largo, FL 33770-2282 | 2017-01-11 |
| 1417490822 | Suncoast Chest Physicians LLC | Internal Medicine | 1345 W Bay Dr, Suite 205, Largo, FL 33770-2282 | 2016-12-02 |
| 1073954525 | Andrea Marie Risen | Physician Assistant | 1345 W Bay Dr, Ste 304, Largo, FL 33770 | 2013-07-12 |
| 1124365523 | Wooldridge Medical Group, LLC | Specialist | 1345 W Bay Dr, Suite 405, Largo, FL 33770-2282 | 2013-01-07 |
| 1871898585 | Matthew Hutchison | Orthopaedic Surgery | 1345 W Bay Dr, Suite 401 & 402, Largo, FL 33770-2282 | 2011-01-12 |
| 1497062186 | Joel Rivera-rodriguez | Internal Medicine | 1345 W Bay Dr, Largo, FL 33770-2282 | 2010-09-02 |
| 1427372739 | Alecia Johnson | Physical Therapist | 1345 W Bay Dr, Largo, FL 33770-2282 | 2010-03-16 |
| 1982815288 | Jesse J Klein | Internal Medicine | 1345 W Bay Dr, Suite 101, Largo, FL 33770-2276 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| 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 |
|---|---|---|---|---|
| 1659888741 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 7050 Ulmerton Rd, Largo, FL 33771 | 2018-01-10 |
| 1780063255 | Fitz Tropics Medical Associates, Inc. | Non-Pharmacy Dispensing Site | 12464 Indian Rocks Rd, Largo, FL 33774-3005 | 2015-05-29 |
| 1225302417 | Susanti K. Chowdhury Md Pa | Non-Pharmacy Dispensing Site | 1945 E Bay Dr, Largo, FL 33771-2217 | 2012-03-06 |
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|---|---|---|---|---|
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| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.