Provider Demographics
NPI:1508365826
Name:UNITED HEALTH SYSTEMS, INC.
Entity Type:Organization
Organization Name:UNITED HEALTH SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-382-0001
Mailing Address - Street 1:10220 W STATE ROAD 84 STE 5
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4223
Mailing Address - Country:US
Mailing Address - Phone:954-382-0001
Mailing Address - Fax:954-382-0119
Practice Address - Street 1:6274 LINTON BLVD STE 106
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6508
Practice Address - Country:US
Practice Address - Phone:954-382-0001
Practice Address - Fax:954-382-0119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAGNOSTIC SLEEP LAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8408OtherMEDICARE
FLV2267OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL022294100Medicaid
FL=========OtherHUMANA
FL022294100Medicaid
FL=========OtherUNITED HEALTHCARE
FL=========OtherCOVENTRY HEALTH CARE
FL=========OtherTRICARE
FLE8408OtherMEDICARE
FL=========OtherSIMPLY
FL=========OtherAVMED
FL=========OtherBEST CHOICE
FL=========OtherNEIGHBORHOOD HEALTH PLAN
FL=========OtherAMERIGROUP
FL=========OtherAETNA
FLV2267OtherBLUE CROSS BLUE SHIELD OF FLORIDA