institution
Innocent Odocha Md Pa
Primary Care Clinic/Center in Gainesville, Florida
NPI 1780709998

Innocent Odocha Md Pa is a Primary Care Clinic/Center based in Gainesville, FL and is specialized in Primary Care. Innocent Odocha Md Pa practices in Gainesville, FL. The NPI Number for Innocent Odocha Md Pa is 1780709998 and holds a License No. ME86683 (Florida).

The current practice location address for Innocent Odocha Md Pa is 816 Nw 13Th St, Gainesville, FL and can be reached out via phone at 352-371-3212 and via fax at 352-371-3213. You can also correspond with Innocent Odocha Md Pa through the mailing address at 816 NW 13TH ST, GAINESVILLE, FL - 32601-2903 (mailing address contact number: 352-371-3212).

Location: 816 Nw 13Th St, Gainesville, FL, 32601-2903
institution
Provider Profile Details
NPI Number
1780709998
Provider Name
Innocent Odocha Md Pa
Credential
Provider Entity Type
Organization
Address
816 Nw 13Th St, Gainesville, FL, 32601-2903
Phone Number
352-371-3212
Fax Number
352-371-3213
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
266453400 05 FL
P00179043 01 RAILROAD MEDICARE
57823 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
816 Nw 13Th St
City
State
Zip
32601-2903
Phone Number
352-371-3212
Fax Number
352-371-3213
person
Provider Business Mailing Address Details
Address
816 Nw 13Th St
City
State
Zip
32601-2903
Phone Number
352-371-3212
Fax Number
352-371-3213
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
ME86683 (Florida)
Definition
Definition to come...
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