UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC - NPI 1992304216

Q: What is Unity Advanced Healthcare And Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Unity Advanced Healthcare And Wellness, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC (NPI 1992304216) is a healthcare organization registered as a family in Lake Park, Florida and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Marie Rachel Previlus, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992304216

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameUNITY ADVANCED HEALTHCARE AND WELLNESS, PLLC

Location Address701 PARK AVELake Park, FL 33403-2503

Mailing Address701 Park AveLake Park, FL 33403-2503 · (561) 301-8675 · Fax (561) 223-3687

Phone(561) 301-8675

Fax(949) 703-7886

Organization SubpartNo

Authorized OfficialMarie Rachel PrevilusAdministrator · (561) 301-8675

Enumeration DateOctober 19, 2020

Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1992304216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

701 PARK AVE, Lake Park, FL 33403

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2327912

Unity Advanced Healthcare And Wellness PLLC · Lake Park, FL

Active · expires Jul 30, 2027

CLIA Number10D2327912

Laboratory TypePractitioner Other

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorMarie Voline Duclair

Laboratory Phone(561) 301-8675

Laboratory LocationUnity Advanced Healthcare And Wellness PLLC701 Park Ave, Lake Park, FL 33403

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KALI ETHEREDGE DPM

Podiatrist