Odum, Orenta M

Odum, Orenta M is an individual health care provider with primary practice located at 1220 E Venice Ave , Venice FL 34285-7151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Odum, Orenta M can be contacted via phone (941) 484-5000.

Contact Information

Primary practice address
1220 E Venice Ave Venice FL 34285-7151
Phone: (941) 484-5000
Fax: (941) 484-4414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP93046659 Florida

Profile Details

NPI number 1659355501
LBN Legal business name Odum, Orenta M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 18th, 2015 - about 10 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 1659355501 NPPES
Florida Other DB716Z MEDICARE NUMBER
Florida MEDICAID 002051400 MEDICARE NUMBER

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