Healthcare Provider Details

I. General information

NPI: 1700299807
Provider Name (Legal Business Name): UNIC ADVANCED HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 NW 19TH ST
FORT LAUDERDALE FL
33311-3535
US

IV. Provider business mailing address

6428 FLETCHER ST
HOLLYWOOD FL
33023-2130
US

V. Phone/Fax

Practice location:
  • Phone: 954-767-0228
  • Fax: 954-767-0229
Mailing address:
  • Phone: 786-426-2197
  • Fax: 954-767-0229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARC PEGGY JOSEPH
Title or Position: OWNER
Credential: APRN
Phone: 954-767-0228