Organization
OPTUMCARE SOUTH FLORIDA, LLC
Active
Organization
OPTUMCARE SOUTH FLORIDA, LLC
Active
Other names
Healthcare Partners South Florida LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization
Contact information
Practice address
5901 COLONIAL DR, SUITE 301, MARGATE, FL 33063-5675
(954) 935-1477
Mailing address
10051 5TH STREET NORTH, ST. PETERSBURG, FL 33702-2299
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME48608
FL
Other
Enumeration date
03/27/2015
Last updated
01/15/2021
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