Provider Demographics
NPI:1104907401
Name:ONE PLUS ONE FLORIDA, INC.
Entity type:Organization
Organization Name:ONE PLUS ONE FLORIDA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIRO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:305-300-1577
Mailing Address - Street 1:6500 COW PEN RD STE 304
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7625
Mailing Address - Country:US
Mailing Address - Phone:305-827-3667
Mailing Address - Fax:305-827-8120
Practice Address - Street 1:6500 COW PEN RD
Practice Address - Street 2:SUITE 305
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6602
Practice Address - Country:US
Practice Address - Phone:305-827-3667
Practice Address - Fax:305-827-8120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20879096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650479500Medicaid
FL650479500Medicaid