| Optumcare Florida Ci, Llc | |
|
2304 Aloma Ave Ste 100 Winter Park FL 32792-3330 | |
| (407) 679-9222 | |
| Not Available |
| Full Name | Optumcare Florida Ci, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2304 Aloma Ave Ste 100, Winter Park, Florida |
| Authorized Official Name and Position | John G. Liethen (SECRETARY) |
| Authorized Official Contact | 9522056262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Florida Ci, Llc 10051 5th St N Ste 200 St Petersburg FL 33702-2211 Ph: (727) 828-2335 | Optumcare Florida Ci, Llc 2304 Aloma Ave Ste 100 Winter Park FL 32792-3330 Ph: (407) 679-9222 |
| NPI Number | 1720506603 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720506603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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