| One Medical Center | |
|
2251 Drew St Ste A Clearwater FL 33765-3306 | |
| (727) 591-9010 | |
| (727) 591-9090 |
| Full Name | One Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2251 Drew St Ste A, Clearwater, Florida |
| Authorized Official Name and Position | Julia Dospehoff (CFO) |
| Authorized Official Contact | 9546084246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical Center 2251 Drew St Clearwater FL 33765-3306 Ph: (813) 658-5605 | One Medical Center 2251 Drew St Ste A Clearwater FL 33765-3306 Ph: (727) 591-9010 |
| NPI Number | 1730755729 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 2567829450 |
|---|---|
| Medicare Enrollment ID | O20230608000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730755729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gregory Schwaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376827030 PECOS PAC ID: 4385886720 Enrollment ID: I20130814000234 |
| Provider Name | Yoandris Oduardo Victoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164813531 PECOS PAC ID: 2264852540 Enrollment ID: I20201027000876 |
| Provider Name | Courtney A Kailunas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790450534 PECOS PAC ID: 6204296239 Enrollment ID: I20230721001390 |
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