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DAVITA MEDICAL GROUP
NPI 1558739847
Non-Pharmacy Dispensing Site in Brandon, FL

Active since September 03, 2015
1933 W LUMSDEN RD, BRANDON, FL 33511(813) 653-3111 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 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 1558739847) is a healthcare organization registered as a non-pharmacy dispensing site in Brandon, Florida and active in the NPI registry since September 2015. The organization lists John G. Liethen, Secretary, as its authorized official.

NPPES Registry Identity

NPI1558739847
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameOPTUMCARE FLORIDA, LLC
Location Address1933 W LUMSDEN RDBrandon, FL 33511-8819
Mailing Address10051 5th Street N.St. Petersburg, FL 33702
Phone(813) 653-3111
Organization SubpartNo
Authorized OfficialJohn G. LiethenSecretary · (952) 205-6262
Enumeration DateSeptember 3, 2015
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1558739847 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 · ME66254
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.)
1933 W LUMSDEN RD, Brandon, FL 33511
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Other Names 2

Doing Business AsDavita Medical Group
Doing Business AsJsa Medical Group- Brandon

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

ALA F SAHAWNEH M.D.
Family Medicine
1933 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 653-3111
DR. NANCY HELEN FRIZZELL ARNP
Nurse Practitioner
1933 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 653-3111
DEBORAH GARCIA ARNP
Nurse Practitioner (Adult Health)
1933 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 653-3111

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 1558739847. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as Davita Medical Group and Jsa Medical Group- Brandon.

Where is Optumcare Florida, LLC located?

Optumcare Florida, LLC is located at 1933 W Lumsden Rd, Brandon, FL 33511. The listed phone number is (813) 653-3111.

What is Optumcare Florida, LLC's specialty?

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

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 with the weekly NPPES data releases published by CMS.