Provider Demographics
NPI:1972028157
Name:ONE HEALTH GROUP, INC.
Entity Type:Organization
Organization Name:ONE HEALTH GROUP, INC.
Other - Org Name:LUZARDO ONE GROUP, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUZARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-501-0426
Mailing Address - Street 1:3380 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4104
Mailing Address - Country:US
Mailing Address - Phone:305-501-0426
Mailing Address - Fax:305-777-7121
Practice Address - Street 1:3380 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4104
Practice Address - Country:US
Practice Address - Phone:305-501-0426
Practice Address - Fax:305-777-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC11022OtherACHA