Odom, Annie D

Odom, Annie D is an individual health care provider with primary practice located at 2423 Talco Hills Dr Apt C , Tallahassee FL 32303-3474. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Odom, Annie D can be contacted via phone (850) 692-4300.

Contact Information

Primary practice address
2423 Talco Hills Dr Apt C Tallahassee FL 32303-3474
Phone: (850) 692-4300
Fax: (877) 841-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 115567 Florida
Nursing Service Related Providers / Home Health Aide 374U00000X 115567 Florida
Nursing Service Related Providers / Homemaker 376J00000X 235755 Florida

Profile Details

NPI number 1043844202
LBN Legal business name Odom, Annie D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2020
Last updated Oct 1st, 2026 - about last month

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 1043844202 NPPES
Florida MEDICAID 235755
Florida MEDICAID 115567
Florida MEDICAID 115665600
Florida MEDICAID 012409200

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