# FLORALA MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104629740
- **Authorized official:** MS. TRACY ODOM CRNP (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (334) 858-1171

## Contact information

- **Practice address:** 24245 5TH AVE, FLORALA, AL 36442-3523
- **Practice address phone:** (334) 858-1171
- **Practice address fax:** (334) 858-1184
- **Mailing address:** PO BOX 342, FLORALA, AL 36442-0342
- **Mailing address phone:** (334) 858-1171
- **Mailing address fax:** (334) 858-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2025
- **Last updated:** 11/04/2025