Provider Demographics
NPI:1851615090
Name:UNITY MEDICAL CENTER PL
Entity Type:Organization
Organization Name:UNITY MEDICAL CENTER PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:OKPALEKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-505-1922
Mailing Address - Street 1:2508 W TAMPA BAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6814
Mailing Address - Country:US
Mailing Address - Phone:813-505-1922
Mailing Address - Fax:813-876-5517
Practice Address - Street 1:2508 W TAMPA BAY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6814
Practice Address - Country:US
Practice Address - Phone:813-505-1922
Practice Address - Fax:813-876-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty