Stanley-Brown, Odett R

Stanley-Brown, Odett R is an sole proprietor health care provider with primary practice located at 918 Rolling Acres Rd Ste 4 , Lady Lake FL 32159-5026. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Stanley-Brown, Odett R can be contacted via phone (352) 831-7675.

Contact Information

Primary practice address
918 Rolling Acres Rd Ste 4 Lady Lake FL 32159-5026
Phone: (352) 831-7675
Fax: (352) 707-3023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME59781 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME59781 Florida

Profile Details

NPI number 1396791877
LBN Legal business name Stanley-Brown, Odett R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 20th, 2026 - about 4 months 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 1396791877 NPPES
Florida MEDICAID 270854000

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