Healthcare Provider Details

I. General information

NPI: 1124935820
Provider Name (Legal Business Name): UNITY PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3065 W BANCROFT ST STE A
TOLEDO OH
43606-3353
US

IV. Provider business mailing address

3065 W BANCROFT ST STE A
TOLEDO OH
43606-3353
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-2273
  • Fax: 419-836-0112
Mailing address:
  • Phone: 419-720-2273
  • Fax: 419-836-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMAD MOUSSA
Title or Position: MD
Credential:
Phone: 419-340-0240