Odom, Ashley

Odom, Ashley is an sole proprietor health care provider with primary practice located at 5003 Winter Garden Pkwy , Fort Pierce FL 34951-2031. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Odom, Ashley can be contacted via phone (772) 207-0566.

Contact Information

Primary practice address
5003 Winter Garden Pkwy Fort Pierce FL 34951-2031
Phone: (772) 207-0566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X 813994458 Florida

Profile Details

NPI number 1750824470
LBN Legal business name Odom, Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Nov 29th, 2016 - about 8 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.

Request for update

Popular Providers