O'Dowd, Stacy L.

O'Dowd, Stacy L. is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-5887. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. O'Dowd, Stacy L. can be contacted via phone (352) 392-4541.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-5887
Phone: (352) 392-4541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME149897 Florida

Profile Details

NPI number 1700853082
LBN Legal business name O'Dowd, Stacy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Mar 7th, 2024 - about 2 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 1700853082 NPPES
Florida MEDICAID 121460000

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