Provider Demographics
NPI:1275253338
Name:UNICO HEALTH CENTER LLC
Entity Type:Organization
Organization Name:UNICO HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GAMIL
Authorized Official - Middle Name:BAHIGE
Authorized Official - Last Name:KHARFAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-332-6137
Mailing Address - Street 1:5355 W 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2100
Mailing Address - Country:US
Mailing Address - Phone:305-821-5261
Mailing Address - Fax:305-646-1606
Practice Address - Street 1:5355 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2100
Practice Address - Country:US
Practice Address - Phone:305-821-5261
Practice Address - Fax:305-646-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty