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General NPI Number Information
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NPI Number | 1821956830
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Entity Type | Organization
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Legal Business Name | ONE MD, LLC
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 5901 SUN BLVD STE 204
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City | SAINT PETERSBURG
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State | FL
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Zip | 33715-1161
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Country | US
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Telephone | 727-900-7622
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Fax | 727-592-8629
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Provider Business Mailing Address
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Address Line | 153 29TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-2940
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Country | US
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Telephone | 305-582-3385
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LORENZO OMAR HERNANDEZ
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Credential | MD
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Telephone | 305-582-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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