Provider Demographics
NPI:1700299807
Name:UNIC ADVANCED HEALTH SERVICES
Entity Type:Organization
Organization Name:UNIC ADVANCED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:PEGGY
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:786-426-2197
Mailing Address - Street 1:6757 PETUNIA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4850
Mailing Address - Country:US
Mailing Address - Phone:786-426-2197
Mailing Address - Fax:954-753-4690
Practice Address - Street 1:6757 PETUNIA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4850
Practice Address - Country:US
Practice Address - Phone:786-426-2197
Practice Address - Fax:954-753-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty