Davita Medical Group is not a DME supplier for medicare equipments and products.
Davita Medical Group is a Non-pharmacy Dispensing Site in Bradenton, Florida. This pharmacy is owned and operated by Optumcare Florida, Llc. It is located at 5534 Cortez Rd W, Bradenton and it's customer support contact number is 941-757-2100. The authorized person of Davita Medical Group is John G. Liethen who is Secretary of the pharmacy and his contact number is 952-205-6262. Active license number of Davita Medical Group is ME113725 for Non-pharmacy Dispensing Site in Florida. Davita Medical Group is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Davita Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Davita Medical Group
Type:
Non-pharmacy Dispensing Site
Location:
5534 Cortez Rd W, Bradenton, Florida, 34210-2817
Phone:
941-757-2100
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
John G. Liethen
Position:
Secretary
Contact Number:
952-205-6262
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1972997823
NPI Enumeration Date:
27 Mar, 2015
NPI Last Update On:
19 Aug, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Davita Medical Group are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
ME113725
Florida
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10051 5th Street N., St. Petersburg, Florida
Zip:
33702
Phone Number:
--
Fax Number:
--
Patients can reach Davita Medical Group at 5534 Cortez Rd W, Bradenton, Florida or can call on customer care at 941-757-2100.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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