Individual
DONNA M. O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9267338
FL
367500000X
Certified Registered Nurse Anesthetist
NO92377
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309077900
—
FL
Enumeration date
04/07/2006
Last updated
06/06/2008
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