Provider Demographics
NPI:1144671074
Name:UNIMED CARE CENTER, LLC
Entity type:Organization
Organization Name:UNIMED CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-428-3500
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-428-3500
Mailing Address - Fax:954-428-1650
Practice Address - Street 1:1800 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1484
Practice Address - Country:US
Practice Address - Phone:954-428-3500
Practice Address - Fax:954-428-1650
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPS MEDICAL MANAGEMENT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty