Optumcare Florida, LLC

NPI #1437496882 in Ruskin, Florida

Provider Information

NPI Number
1437496882
Entity Type
Organization
Organization Name
Optumcare Florida, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 4, 2013
Last Updated
Aug 19, 2019

Practice Location

Address
733 CORTARO DR
City
Ruskin
State
Florida
ZIP Code
33573-6812
Phone
(813) 634-2500

Authorized Official

Name
JOHN G. LIETHEN
Title
SECRETARY
Phone
(952) 205-6262

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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