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JSA MEDICAL GROUP SUN CITY CENTER
NPI 1437496882
Non-Pharmacy Dispensing Site in Ruskin, FL

Active since January 04, 2013CLIA Certified · 3 labs
733 CORTARO DR, RUSKIN, FL 33573(813) 634-2500 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2019, Mar 15, 2017 (2 updates tracked since 2017).

About Jsa Medical Group Sun City Center NPPES

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

JSA MEDICAL GROUP SUN CITY CENTER (NPI 1437496882) is a healthcare organization registered as a non-pharmacy dispensing site in Ruskin, Florida and active in the NPI registry since January 2013. The organization holds 3 active CLIA laboratory certificates and lists John G. Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1437496882
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameOPTUMCARE FLORIDA, LLC
Location Address733 CORTARO DRRuskin, FL 33573-6812
Mailing Address10051 5th Street NorthSt. Petersburg, FL 33702-2299
Phone(813) 634-2500
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialJohn G. LiethenSecretary · (952) 205-6262
Enumeration DateJanuary 4, 2013
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1437496882 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 · ME83064
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.)
733 CORTARO DR, Ruskin, FL 33573
Open in Google Maps ↗

Other Names 1

Doing Business AsJsa Medical Group Sun City Center

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 3

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 10D0947910

Optumcare Florida LLC · Sun City Center, FL
Active · expires Jun 25, 2028
CLIA Number10D0947910
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorAdriana Carbon
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC781 Cypress Village Blvd, Sun City Center, FL 33573
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1026074

Optumcare Florida LLC · Sun City Center, FL
Active · expires May 25, 2028
CLIA Number10D1026074
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorVu Xuan Tran
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC787 Cortaro Dr, Sun City Center, FL 33573
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2122583

Optumcare Florida LLC · Sun City Center, FL
Active · expires Nov 29, 2026
CLIA Number10D2122583
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorMaria Razon
Laboratory Phone(407) 258-3186
Laboratory LocationOptumcare Florida LLC772 Cortaro Dr, Sun City Center, FL 33573
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CHECK MY HEART LLC
Internal Medicine (Cardiovascular Disease)
733 CORTARO DR
RUSKIN, FL 33573
Hillsborough County (813) 633-9700
SHAHID SHAFIQ MALIK M.D.
Internal Medicine (Cardiovascular Disease)
733 CORTARO DR
RUSKIN, FL 33573
Hillsborough County (813) 633-9700
EVERSHINE DENTAL CARE,LLC
Clinic/Center (Dental)
733 CORTARO DR
RUSKIN, FL 33573
Hillsborough County (813) 321-7989
NORTHSIDE CARDIOLOGY
Internal Medicine (Cardiovascular Disease)
733 CORTARO DR
RUSKIN, FL 33573
Hillsborough County (813) 633-9700

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 1437496882. It was assigned to this organization in the NPPES registry on January 4, 2013. The provider is doing business as Jsa Medical Group Sun City Center.

Where is Optumcare Florida, LLC located?

Optumcare Florida, LLC is located at 733 Cortaro Dr, Ruskin, FL 33573. The listed phone number is (813) 634-2500.

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 CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 7 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.