Individual
DR. DOROTHY JEAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 E STATE ROAD 434, LONGWOOD, FL 32750-5222
(407) 262-5800
(407) 331-4840
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 389-5300
(407) 389-5363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME98199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001119100
—
FL
Enumeration date
10/01/2008
Last updated
08/01/2016
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