Optumcare South Florida, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME94617 Issued in FL

Legal business name

OPTUMCARE SOUTH FLORIDA, LLC

Doing business as

Healthcare Partners South Florida LLC

Practice address

9750 NW 33Rd St
Suite 212
Coral Springs, FL 33065-4042

Phone

(954) 755-5504

NPI assigned

Mar 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John G. Liethen

Title

Secretary

Phone

(952) 205-6262

Specialties & licenses 1

Addresses

Other names 1

• Healthcare Partners South Florida LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1922492883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH STREET NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337022299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "SUITE 212",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-755-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMCARE SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LIETHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-205-6262"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME94617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Partners South Florida LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare Partners South Florida LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katherine Orellana Medina, O.D.
• Orin M. Levy, M.D., P.a.
• Ortho Florida, LLC
• Ortho-Pedo Associates, PA

• Non-Pharmacy Dispensing Site in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.