Provider Demographics
NPI:1154035962
Name:UNICARE PLUS MEDICAL CENTERS
Entity type:Organization
Organization Name:UNICARE PLUS MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CEDRIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-900-4381
Mailing Address - Street 1:4850 W OAKLAND PARK BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-7261
Mailing Address - Country:US
Mailing Address - Phone:954-900-4381
Mailing Address - Fax:954-916-7952
Practice Address - Street 1:4850 W OAKLAND PARK BLVD STE 209
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-7261
Practice Address - Country:US
Practice Address - Phone:954-900-4381
Practice Address - Fax:954-916-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty