Provider Demographics
NPI:1386634780
Name:UNITY RESPIRATORY AND DIABETIC INC
Entity Type:Organization
Organization Name:UNITY RESPIRATORY AND DIABETIC INC
Other - Org Name:UNITY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-235-1840
Mailing Address - Street 1:3280 TAMIAMI TRL
Mailing Address - Street 2:STE. 55A PMB 285
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8086
Mailing Address - Country:US
Mailing Address - Phone:941-235-1840
Mailing Address - Fax:941-235-1842
Practice Address - Street 1:4200 TAMIAMI TRL STE D
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-9233
Practice Address - Country:US
Practice Address - Phone:941-235-1840
Practice Address - Fax:941-235-1842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313349332BC3200X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP8164OtherBCBS OF FL PROVIDER NUMBE
FL022953901Medicaid
FL005828100Medicaid
FL022953901Medicaid