OrganizationActive
Optumcare Florida, LLC
NPI 1023402088 · Non-Pharmacy Dispensing Site · Seffner, FL
Optumcare Florida, LLC is a Non-Pharmacy Dispensing Site organization in Seffner, FL (NPI 1023402088).
Provider details
- NPI number
- 1023402088
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
- License
- OS8544 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
770 W Dr Martin Luther King Jr Blvd
Seffner, FL 33584-4534
Phone: (813) 654-7005
Street-level locationGet directions
Mailing address
10051 5th St. North
Saint Petersburg, FL 33702
Other names (DBA / former)
- Doing business as
- Davita Medical Group
- Doing business as
- Jsa Medical Group-Seffner
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2019-08-19
Frequently asked questions
- What is Optumcare Florida, LLC's NPI number?
- Optumcare Florida, LLC's National Provider Identifier (NPI) is 1023402088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Optumcare Florida, LLC?
- Optumcare Florida, LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Optumcare Florida, LLC located?
- Optumcare Florida, LLC's practice location on file with NPPES is 770 W Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4534.
- What is Optumcare Florida, LLC's phone number?
- The practice phone number listed in the NPPES registry for Optumcare Florida, LLC is (813) 654-7005.
- Who is the authorized official for Optumcare Florida, LLC?
- The authorized official listed on Optumcare Florida, LLC's NPPES record is John Liethen, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Optumcare Florida, LLC's NPI active?
- Yes — Optumcare Florida, LLC's NPI (1023402088) is active in the NPPES registry as of the last update on 2019-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.