Davita Medical Group, Pharmacy

LBN: Optumcare Florida, Llc
Davita Medical Group, Pharmacy is an health care organization with primary practice located at 4757 Us Highway 19 Ste A , New Port Richey FL 34652-4945. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Optumcare Florida, Llc can be contacted via phone (727) 849-9373, or through Liethen, John G. via phone (952) 205-6262.

Contact Information

Primary practice address
4757 Us Highway 19 Ste A New Port Richey FL 34652-4945
Phone: (727) 849-9373
Fax: (727) 815-1203
Website:
Map and Directions
Authorized official contact:
Name: Liethen, John G.
Phone: (952) 205-6262

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X PH24634 Florida

Profile Details

NPI number 1558681460
LBN Legal business name Optumcare Florida, Llc
DBA Doing business as Davita Medical Group, Pharmacy
Authorized official Liethen, John G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2010
Last updated Aug 19th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558681460 NPPES
Other 5700198 NCPDP PROVIDER IDENTIFICATION NUMBER

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