Individual
IRA DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 BRIARCLIFF RD, EUSTIS, FL 32726-6457
(352) 672-5144
Mailing address
607 BRIARCLIFF RD, EUSTIS, FL 32726-6457
(352) 672-5144
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
PN5164275
FL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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