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
9750 NW 33RD ST, SUITE 212, CORAL SPRINGS, FL 33065-4042
(954) 755-5504
Mailing address
10051 5TH STREET NORTH, ST. PETERSBURG, FL 33702-2299
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME94617
FL
Other
Enumeration date
03/27/2015
Last updated
08/19/2019
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