OrganizationActive
Optumcare Florida, LLC
NPI 1558739847 · Non-Pharmacy Dispensing Site · Brandon, FL
Optumcare Florida, LLC is a Non-Pharmacy Dispensing Site organization in Brandon, FL (NPI 1558739847).
Provider details
- NPI number
- 1558739847
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- John Liethen, Secretary(952) 205-6262
- License
- ME66254 (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
1933 W Lumsden Rd
Brandon, FL 33511-8819
Phone: (813) 653-3111
Street-level locationGet directions
Mailing address
10051 5th Street N.
St. Petersburg, FL 33702
Other names (DBA / former)
- Doing business as
- Davita Medical Group
- Doing business as
- Jsa Medical Group- Brandon
Registry dates
- Enumerated
- 2015-09-03
- 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 1558739847, 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 1933 W Lumsden Rd, Brandon, FL 33511-8819.
- What is Optumcare Florida, LLC's phone number?
- The practice phone number listed in the NPPES registry for Optumcare Florida, LLC is (813) 653-3111.
- 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 (1558739847) 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.