OPTUMCARE FLORIDA LLC

ST PETERSBURG, FL
NPI1972663102
Doing Business AsDAVITA MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJOHN G. LIETHEN
Secretary
952-205-6262
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: FL  PH19244)
Additional Taxonomies333600000X Pharmacy
Enumeration Date2006-12-11
Last Update Date2019-08-19
Business Address
OPTUMCARE FLORIDA LLC
7601 9TH ST N STE C 1
ST PETERSBURG, FL 33702-5211
Phone number: 727-520-7995
Mailing Address
OPTUMCARE FLORIDA LLC
10051 5TH STREET N.
ST PETERSBURG, FL 33702
Phone number: 727-520-7995