Individual
JOHN EZE ODOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(727) 513-9060
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD-43501
IA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME123608
FL
Other
Enumeration date
05/13/2014
Last updated
12/28/2022
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