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DAVITA MEDICAL GROUP
NPI 1033503099
Non-Pharmacy Dispensing Site in Largo, FL

Active since March 26, 2015CLIA 10D1026072 · Waiver
1345 W BAY DR, SUITE 202, LARGO, FL 33770(727) 559-0895 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2019, Jul 21, 2017 (2 updates tracked since 2017).

About Davita Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVITA MEDICAL GROUP (NPI 1033503099) is a healthcare organization registered as a non-pharmacy dispensing site in Largo, Florida and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through May 25, 2028 and lists John G. Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1033503099
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameOPTUMCARE FLORIDA, LLC
Location Address1345 W BAY DR, SUITE 202Largo, FL 33770-2282
Mailing Address10051 5th Street N.St. Petersburg, FL 33702
Phone(727) 559-0895
Organization SubpartNo
Authorized OfficialJohn G. LiethenSecretary · (952) 205-6262
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1033503099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME86502
Definition
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.)
1345 W BAY DR, Largo, FL 33770
Open in Google Maps ↗

Other Names 1

Doing Business AsDavita Medical Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1026072

Optumcare Florida LLC · Largo, FL
Active · expires May 25, 2028
CLIA Number10D1026072
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorRyan M. Smith
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC1345 W Bay Drive Suite 202, Largo, FL 33770
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARRY L. WINTON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1345 W BAY DR, STE 304
LARGO, FL 33770
Pinellas County (727) 490-5040
WOOLDRIDGE MEDICAL GROUP, LLC
Specialist
1345 W BAY DR, SUITE 405
LARGO, FL 33770
Pinellas County (727) 213-9888
STANLEY S MOLES & ASSOCIATES MD'S PA
Radiology (Nuclear Radiology)
1345 W BAY DR, STE 301
LARGO, FL 33770
Pinellas County (727) 581-6984
MRS. MARGARET A LEINBACH PA-C
Physician Assistant
1345 W BAY DR, SUITE 405
LARGO, FL 33770
Pinellas County (727) 587-6999
ABILITY HEALTH SERVICES AND REHABILITATION LP
Clinic/Center (Rehabilitation)
1345 W BAY DR
LARGO, FL 33770
Pinellas County (407) 688-0070
DR. MERRILL A. KROLICK D.O
Internal Medicine (Interventional Cardiology)
1345 W BAY DR, #101
LARGO, FL 33770
Pinellas County (727) 581-3550
ALECIA HOWARD
Physical Therapist
1345 W BAY DR
LARGO, FL 33770
Pinellas County (407) 688-0070
VICTORIA ANN KENNEDY PA-C
Physician Assistant (Medical)
1345 W BAY DR, SUITE 301
LARGO, FL 33770
Pinellas County (727) 581-6984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optumcare Florida, LLC's NPI number?

The NPI number for Optumcare Florida, LLC is 1033503099. It was assigned to this organization in the NPPES registry on March 26, 2015. The provider is doing business as Davita Medical Group.

Where is Optumcare Florida, LLC located?

Optumcare Florida, LLC is located at 1345 W Bay Dr Suite 202, Largo, FL 33770. The listed phone number is (727) 559-0895.

What is Optumcare Florida, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Optumcare Florida, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1026072) is associated with this NPI, valid through May 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optumcare Florida, LLC accept?

Health plans from Sanford Health Plan list Optumcare Florida, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optumcare Florida, LLC was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.