Odum, Lesli

Odum, Lesli is an sole proprietor health care provider with primary practice located at 6396 Royal Tern St , Orlando FL 32810-6012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is her primary health care specialty. Odum, Lesli can be contacted via phone (407) 801-9628.

Contact Information

Primary practice address
6396 Royal Tern St Orlando FL 32810-6012
Phone: (407) 801-9628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1982006268
LBN Legal business name Odum, Lesli
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2014
Last updated Nov 2nd, 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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