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Organization

ONENESS 1, LLC

Active
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Organization

ONENESS 1, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN PAYNE (ADMINISTRATOR)
(414) 526-1743
Entity
Organization

Contact information

Practice address
904 LYNNLEA LN, TARPON SPRINGS, FL 34689-2815
(813) 419-1986
Mailing address
13678 SEA BRIDGE DRIVE, HUDSON, FL 34669
(414) 526-1743

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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