Innocent Odocha Md Pa

LBN: Innocent Odocha Md Pa
Innocent Odocha Md Pa is an health care organization with primary practice located at 816 Nw 13Th St , Gainesville FL 32601-2903. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Innocent Odocha Md Pa can be contacted via phone (352) 371-3212, or through Odocha, Innocent via phone (352) 371-3212.

Contact Information

Primary practice address
816 Nw 13Th St Gainesville FL 32601-2903
Phone: (352) 371-3212
Fax: (352) 371-3213
Website:
Map and Directions
Authorized official contact:
Name: Odocha, Innocent Doctor of Medicine (MD)
Phone: (352) 371-3212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME86683 Florida

Profile Details

NPI number 1780709998
LBN Legal business name Innocent Odocha Md Pa
DBA Doing business as
Authorized official Odocha, Innocent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated May 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780709998 NPPES
Florida MEDICAID 266453400
Florida Other P00179043
Florida Other 57823

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