DAVITA MEDICAL GROUP
NPI 1659749943
Non-Pharmacy Dispensing Site in Brandon, FL

Q: What is Optumcare Florida, LLC's NPI number?

The NPI number for Optumcare Florida, LLC is 1659749943. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as Davita Medical Group.

Q: What is Optumcare Florida, LLC's specialty?

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

Active since September 03, 2015

406 W BLOOMINGDALE AVE, BRANDON, FL 33511(813) 653-1880 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

On this page

About Davita Medical Group NPPES

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

DAVITA MEDICAL GROUP (NPI 1659749943) 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

NPI1659749943

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameOPTUMCARE FLORIDA, LLC

Location Address406 W BLOOMINGDALE AVEBrandon, FL 33511-7402

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(813) 653-1880

Organization SubpartNo

Authorized OfficialJohn G. LiethenSecretary · (952) 205-6262

Enumeration DateSeptember 3, 2015

Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration

✔ NPI 1659749943 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 · ME79514

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.)

406 W BLOOMINGDALE AVE, Brandon, FL 33511

Open in Google Maps ↗

Other Names 1

Doing Business AsDavita Medical Group

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 1659749943. It was assigned to this organization in the NPPES registry on September 3, 2015. The provider is doing business as Davita Medical Group.

Where is Optumcare Florida, LLC located?

Optumcare Florida, LLC is located at 406 W Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 653-1880.

What is Optumcare Florida, LLC's specialty?

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

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.