Provider Demographics
NPI:1972072767
Name:ONE MISSION LLC
Entity Type:Organization
Organization Name:ONE MISSION LLC
Other - Org Name:HYDRIP HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:ZAMOR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:954-280-9944
Mailing Address - Street 1:282 SOUTH UNIVERSITY DR # 282
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3341
Mailing Address - Country:US
Mailing Address - Phone:195-428-0994
Mailing Address - Fax:
Practice Address - Street 1:282 SOUTH UNIVERISTY DR
Practice Address - Street 2:282
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3332
Practice Address - Country:US
Practice Address - Phone:954-280-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service