Provider Demographics
NPI:1932236296
Name:UNITED THERAPISTS OF SOUTH FLORIDA, LLC
Entity Type:Organization
Organization Name:UNITED THERAPISTS OF SOUTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALONSO
Authorized Official - Middle Name:T
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:954-567-4175
Mailing Address - Street 1:PO BOX 5643
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33310-5643
Mailing Address - Country:US
Mailing Address - Phone:954-567-4175
Mailing Address - Fax:
Practice Address - Street 1:1061 W. OAKLAND PARK BLVD.
Practice Address - Street 2:STE. #126
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:954-567-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty