OPTUMCARE FLORIDA CI, LLC
NPI 1720506603
Clinic/Center - Primary Care in Winter Park, FL
About Optumcare Florida Ci, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTUMCARE FLORIDA CI, LLC (NPI 1720506603) is a healthcare organization registered as a primary care in Winter Park, Florida and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists John G. Liethen, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 10D0940358
Optumcare Florida LLC · Winter Park, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ci, LLC's NPI number?
The NPI number for Optumcare Florida Ci, LLC is 1720506603. It was assigned to this organization in the NPPES registry on August 31, 2017.
Where is Optumcare Florida Ci, LLC located?
Optumcare Florida Ci, LLC is located at 2304 Aloma Ave Ste 100, Winter Park, FL 32792. The listed phone number is (407) 679-9222.
What is Optumcare Florida Ci, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Optumcare Florida Ci, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0940358) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Optumcare Florida Ci, 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.
# Optumcare Florida Ci, Llc · NPI 1720506603
Primary Care organization in Winter Park, Florida. Organization record, active in the CMS NPPES registry since August 31, 2017.
## Identity
- **NPI:** 1720506603 (Entity type: Organization)
- **Enumerated:** August 31, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** John Liethen, SECRETARY
## Practice location
- **Address:** 2304 ALOMA AVE STE 100, Winter Park, FL 32792-3330
- **Phone:** (407) 679-9222
## Record status
- **NPPES last updated:** August 19, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720506603) · Data from the CMS NPPES public registry.