Innocent Odocha MD PA

NPI #1780709998 in Gainesville, Florida

Provider Information

NPI Number
1780709998
Entity Type
Organization
Organization Name
Innocent Odocha MD PA
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 20, 2007
Last Updated
May 14, 2009

Practice Location

Address
816 NW 13TH ST
State
Florida
ZIP Code
32601-2903
Phone
(352) 371-3212

Authorized Official

Name
DR. INNOCENT ODOCHA, MD
Title
PRESIDENT
Phone
(352) 371-3212

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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