Cordia, John Odia

Cordia, John Odia is an sole proprietor health care provider with primary practice located at 8910 Miramar Pkwy , Miramar FL 33025-4100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cordia, John Odia can be contacted via phone (754) 204-5864.

Contact Information

Primary practice address
8910 Miramar Pkwy Miramar FL 33025-4100
Phone: (754) 204-5864
Fax: (786) 916-6887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X APRN9429559 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9429559 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP140106 Texas

Profile Details

NPI number 1184138364
LBN Legal business name Cordia, John Odia
Credentials PMHNP-APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2017
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184138364 NPPES
Florida MEDICAID 102082100

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