Provider Demographics
NPI:1982930970
Name:UNITED THERAPY GROUP LLC
Entity type:Organization
Organization Name:UNITED THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOTOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-514-7920
Mailing Address - Street 1:4511 SW 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9626
Mailing Address - Country:US
Mailing Address - Phone:866-236-1808
Mailing Address - Fax:866-660-1912
Practice Address - Street 1:4511 SW 48TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-9626
Practice Address - Country:US
Practice Address - Phone:866-236-1808
Practice Address - Fax:866-660-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation