OrganizationActive
Optumcare Florida, LLC
NPI 1043687072 · Non-Pharmacy Dispensing Site · Tampa, FL
Provider details
- NPI number
- 1043687072
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
- License
- ME81584 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2727 W Dr Mlk Blvd
Suite 850
Tampa, FL 33607-6383
Phone: (813) 871-2717
Street-level locationGet directions
Mailing address
10051 5th Street N.
St. Petersburg, FL 33702
Other names (DBA / former)
- Doing business as
- Davita Medical Group
Registry dates
- Enumerated
- 2015-08-25
- Last updated
- 2019-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.