Odie, Mary

Odie, Mary is an individual health care provider with primary practice located at 1950 Lee Rd Ste 104 , Winter Park FL 32789-1847. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Odie, Mary can be contacted via phone (407) 956-1870.

Contact Information

Primary practice address
1950 Lee Rd Ste 104 Winter Park FL 32789-1847
Phone: (407) 956-1870
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5209256 Florida

Profile Details

NPI number 1235793308
LBN Legal business name Odie, Mary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Apr 24th, 2019 - about 7 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 1235793308 NPPES
Florida Other PN5209256 FLORIDA NURSING LICENSE

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