Unity Medical Center & Services LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

UNITY MEDICAL CENTER & SERVICES LLC

Practice address

1511 Prosperity Farms Rd
Lake Park, FL 33403-2046

Phone

(508) 345-2365

NPI assigned

Apr 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natacha Etienne, APRN

Title

Vice President

Phone

(561) 410-4501

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1801479878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 SUMMER GLEN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328184753",
            "telephone_number": "561-410-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 PROSPERITY FARMS RD",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032046",
            "telephone_number": "508-345-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY MEDICAL CENTER & SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "NATACHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "561-410-4501",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR MEDICAL DIRECTOR JOEL PELISSIER",
            "identifier": "1730454323",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730454323",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unitymedical29@gmail.com",
            "affiliation": "N",
            "address_1": "1511 Prosperity Farms Rd",
            "city": "Lake Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334032046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Trinity Heart Inc,
• Tropical Garden Villas Inc. (Tropical Garden Villas North)
• Tropical Palm Assisted Living
• Christy Elease Turnquist
• Unity Advanced Healthcare and Wellness, PLLC
• Kevin McFarlin Usry, DC
• Men T Van, RPH
• Dibanni Vasquez, M.D.
• VBDC of Lake Park PLLC (Value Dental Center)
• Victoria ABA Theraphy

• Primary Care Clinic/Center in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.