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Contact Information

OPTUMCARE FLORIDA, LLC
4757 US HIGHWAY 19
NEW PORT RICHEY, FL34652-4945
 Phone: 727-849-9373
 Fax: 727-841-0497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for OPTUMCARE FLORIDA, LLC

NPI # 1063572295
LBN Legal business name OPTUMCARE FLORIDA, LLC
Authorized official JOHN LIETHEN - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 08/19/2019 - About 7 years ago
Identifiers
FL License # PH18603
FL Medicaid 030843900
FL Medicaid 4399230001
Other 2014572 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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