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Organization
ODESSA CAPITAL LLC
Active
Organization
ODESSA CAPITAL LLC
Active
Other names
allurehealth
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WOMACK (MANAGING PARTNER)
(352) 293-2810
Entity
Organization
Contact information
Practice address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(352) 293-2810
(727) 264-2117
Mailing address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(727) 633-0003
(727) 334-8904
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
08/29/2022
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