# INNOCENT ODOCHA, M.D.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odocha Family Medicine and Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477719763
- **Authorized official:** DR. INNOCENT ODOCHA M.D. (PHYSICIAN)
- **Authorized official phone:** (352) 371-3212

## Contact information

- **Practice address:** 1026 SW 2ND AVE, SUITE E, GAINESVILLE, FL 32601-6134
- **Practice address phone:** (352) 371-3212
- **Mailing address:** 1026 SW 2ND AVE, SUITE E, GAINESVILLE, FL 32601-6134
- **Mailing address phone:** (352) 371-3212

## Taxonomy

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

## Other

- **Enumeration date:** 08/06/2008
- **Last updated:** 08/06/2008