Optumcare South Florida, LLC
Non-Pharmacy Dispensing Site in Coral Springs, FL. Organization (NPI-2).
NPI number1922492883
StatusActive
Last updated in NPPESAug 19, 2019
Details
- NPI
- 1922492883
- Entity type
- Organization (NPI-2)
- Legal business name
- Optumcare South Florida, LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2015
- Last updated
- Aug 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | ME94617 | FL | Yes |
Other names
- Healthcare Partners South Florida LLC (Doing Business As)
Practice location
9750 Nw 33rd StSuite 212
Coral Springs, FL 33065-4042
Phone 954-755-5504
Mailing address
10051 5th Street NorthSt. Petersburg, FL 33702-2299
Authorized official
John G. Liethen
Secretary
9522056262
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