Healthcare Provider Details

I. General information

NPI: 1821956830
Provider Name (Legal Business Name): ONE MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 SUN BLVD STE 204
SAINT PETERSBURG FL
33715-1161
US

IV. Provider business mailing address

153 29TH AVE N
SAINT PETERSBURG FL
33704-2940
US

V. Phone/Fax

Practice location:
  • Phone: 727-900-7622
  • Fax: 727-592-8629
Mailing address:
  • Phone: 305-582-3385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LORENZO OMAR HERNANDEZ
Title or Position: PHYSICIAN
Credential: MD
Phone: 305-582-3385