Provider Demographics
NPI:1992304216
Name:UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC
Entity type:Organization
Organization Name:UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:PREVILUS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:561-301-8675
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2503
Mailing Address - Country:US
Mailing Address - Phone:561-301-8675
Mailing Address - Fax:949-703-7886
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2503
Practice Address - Country:US
Practice Address - Phone:561-301-8675
Practice Address - Fax:949-703-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty