Healthcare Provider Details

I. General information

NPI: 1578471108
Provider Name (Legal Business Name): UNITED THORACIC SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 PARK CENTER DR
ORLANDO FL
32835-6235
US

IV. Provider business mailing address

1701 PARK CENTER DR
ORLANDO FL
32835-6235
US

V. Phone/Fax

Practice location:
  • Phone: 623-320-0660
  • Fax:
Mailing address:
  • Phone: 623-320-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: BRETT MCLAUGHLIN
Title or Position: COO
Credential:
Phone: 480-773-1803