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Organization

ONE QUEST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TORREY ESALOMI (OWNER/OPERATOR)
(813) 352-5293
Entity
Organization

Contact information

Practice address
5362 SOUTHWICK DR, TAMPA, FL 33624-4124
(813) 352-5293
Mailing address
PO BOX 82183, TAMPA, FL 33682-2183
(813) 352-5293

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023775600
FL
Enumeration date
07/24/2020
Last updated
07/24/2020
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