Organization
UNITY MEDICAL CENTER & SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA ETIENNE APRN (VICE PRESIDENT)
(561) 410-4501
Entity
Organization
Contact information
Practice address
1511 PROSPERITY FARMS RD, LAKE PARK, FL 33403-2046
(508) 345-2365
Mailing address
2543 SUMMER GLEN DR, ORLANDO, FL 32818-4753
(561) 410-4501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730454323
INDIVIDUAL NPI FOR MEDICAL DIRECTOR JOEL PELISSIER
FL
05
—
1730454323
—
FL
Enumeration date
04/28/2021
Last updated
05/10/2021
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