Provider Demographics
NPI:1972345692
Name:UNIX HEALTHCARE LLC
Entity type:Organization
Organization Name:UNIX HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASIMIR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP
Authorized Official - Phone:754-222-9999
Mailing Address - Street 1:4774 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2878
Mailing Address - Country:US
Mailing Address - Phone:754-222-0893
Mailing Address - Fax:866-333-7921
Practice Address - Street 1:4774 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-2878
Practice Address - Country:US
Practice Address - Phone:754-222-0893
Practice Address - Fax:866-333-7921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care