Healthcare Provider Details

I. General information

NPI: 1982930970
Provider Name (Legal Business Name): UNITED THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 12/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4511 SW 48TH AVE
OCALA FL
34474-9626
US

IV. Provider business mailing address

4511 SW 48TH AVE
OCALA FL
34474-9626
US

V. Phone/Fax

Practice location:
  • Phone: 866-236-1808
  • Fax: 866-660-1912
Mailing address:
  • Phone: 866-236-1808
  • Fax: 866-660-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DARREN LOTOW
Title or Position: CEO
Credential:
Phone: 352-514-7920