Provider Demographics
NPI:1184393704
Name:UNIQUE UNITS LLC
Entity type:Organization
Organization Name:UNIQUE UNITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRANIAL PROSTHESIS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:RAVEN
Authorized Official - Middle Name:SYMONE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-657-9162
Mailing Address - Street 1:5470 E BUSCH BLVD # 449
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5418
Mailing Address - Country:US
Mailing Address - Phone:727-657-9162
Mailing Address - Fax:
Practice Address - Street 1:8749 TEMPLE TERRACE HW
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637
Practice Address - Country:US
Practice Address - Phone:727-657-9162
Practice Address - Fax:813-213-4575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier