Individual
IVANA LUCIA ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDHS
Contact information
Practice address
29050 CORAL SEA BLVD BLDG 718, HOMESTEAD, FL 33039-1299
(786) 243-4800
(786) 243-4848
Mailing address
29050 CORAL SEA BLVD BLDG 718, HOMESTEAD, FL 33039-1299
(786) 243-4800
(786) 243-4848
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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