JSA MEDICAL GROUP- WEST COLONIAL
NPI 1912374943
Non-Pharmacy Dispensing Site in Orlando, FL
About Jsa Medical Group- West Colonial NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JSA MEDICAL GROUP- WEST COLONIAL (NPI 1912374943) is a healthcare organization registered as a non-pharmacy dispensing site in Orlando, Florida and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists John G. Liethen, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted 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 10D0715369
Optumcare Florida LLC · Orlando, FLOther Providers at the Same Location NPPES
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, LLC's NPI number?
The NPI number for Optumcare Florida, LLC is 1912374943. It was assigned to this organization in the NPPES registry on August 25, 2015. The provider is doing business as Jsa Medical Group- West Colonial and DaVita Medical Group.
Where is Optumcare Florida, LLC located?
Optumcare Florida, LLC is located at 7240 W Colonial Dr, Orlando, FL 32818. The listed phone number is (407) 296-2273.
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 10D0715369) is associated with this NPI, valid through July 2, 2027. 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 20, 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.
# Jsa Medical Group- West Colonial · NPI 1912374943
Non-Pharmacy Dispensing Site organization in Orlando, Florida. Organization record, active in the CMS NPPES registry since August 25, 2015.
## Identity
- **NPI:** 1912374943 (Entity type: Organization)
- **Enumerated:** August 25, 2015
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Legal business name:** Optumcare Florida, Llc
- **Also known as:** DaVita Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Liethen, SECRETARY
## Practice location
- **Address:** 7240 W COLONIAL DR, Orlando, FL 32818-6749
- **Phone:** (407) 296-2273
## Record status
- **NPPES last updated:** August 20, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912374943) · Data from the CMS NPPES public registry.