Provider Demographics
NPI:1588639603
Name:ONEBLOOD, INC
Entity Type:Organization
Organization Name:ONEBLOOD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:BUFF
Authorized Official - Last Name:MAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-568-1159
Mailing Address - Street 1:8669 COMMODITY CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9054
Mailing Address - Country:US
Mailing Address - Phone:727-568-1159
Mailing Address - Fax:727-577-1812
Practice Address - Street 1:8669 COMMODITY CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9054
Practice Address - Country:US
Practice Address - Phone:727-568-1159
Practice Address - Fax:727-577-1812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL9039Medicare ID - Type Unspecified