# UNIFIED MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIFIED PHYSICIAN MANAGEMENT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093127714
- **Legal business name:** UNIFIED PHYSICIAN MANAGEMENT, LLC
- **Authorized official:** DR. KENNETH ALAN KONSKER MD (CO-CEO)
- **Authorized official phone:** (561) 300-2410

## Contact information

- **Practice address:** 3731 FAU BLVD, BOCA RATON, FL 33431-6412
- **Practice address phone:** (561) 300-2410
- **Practice address fax:** (866) 263-4302
- **Mailing address:** 3731 FAU BLVD, BOCA RATON, FL 33431-6412
- **Mailing address phone:** (561) 300-2410
- **Mailing address fax:** (866) 263-4302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME70734 | FL | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 05/29/2014