DR. Odilie Bagwell, AU. D CCC-A

NPI #1083925648 in Cocoa, Florida

Provider Information

NPI Number: 1083925648
Entity Type: Individual
Name: DR. Odilie Bagwell, AU. D CCC-A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Audiologist
Credential: AU. D CCC-A
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 4200 STATE ROAD 524
Address 2: SUITE 103
City: Cocoa
State: Florida
ZIP Code: 32926-3560
Phone: (321) 504-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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