Healthcare Provider Details

I. General information

NPI: 1992626782
Provider Name (Legal Business Name): ONE OF A KIND SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27490 SW 167TH AVE
HOMESTEAD FL
33031-2708
US

IV. Provider business mailing address

27490 SW 167TH AVE
HOMESTEAD FL
33031-2708
US

V. Phone/Fax

Practice location:
  • Phone: 786-715-5901
  • Fax:
Mailing address:
  • Phone: 786-715-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBORA PEDRINI
Title or Position: OWNER
Credential:
Phone: 786-715-5901