MEDICARE: UNIC ADVANCED HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1700299807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIC ADVANCED HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	6428 FLETCHER ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2130
Country	:	US
Telephone Number	:	786-426-2197
Fax Number	:	954-767-0229

Provider Business Practice Location Address
First Line	:	1814 NW 19TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3535
Country	:	US
Telephone Number	:	954-767-0228
Fax Number	:	954-767-0229

Authorized Official
Title or Position	:	OWNER
Name	:	MARC PEGGY JOSEPH
Credential	:	APRN
Telephone Number	:	954-767-0228

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	11/16/2025

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