Healthcare Provider Details

I. General information

NPI: 1912812249
Provider Name (Legal Business Name): UNITY WITHOUT BORDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N US HIGHWAY 1 STE D10
JUPITER FL
33477-5135
US

IV. Provider business mailing address

201 N US HIGHWAY 1 STE D10
JUPITER FL
33477-5135
US

V. Phone/Fax

Practice location:
  • Phone: 516-640-6937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD ASIM NISAR
Title or Position: DIRECTOR
Credential:
Phone: 516-640-6937