Organization
GAINESVILLE AFTER HOURS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW R ODOM MD (PRESIDENT)
(352) 373-4107
Entity
Organization
Contact information
Practice address
1050 NW 8TH AVE STE 20, GAINESVILLE, FL 32601-4998
(352) 379-7900
Mailing address
9111 SW 53RD PL STE C, GAINESVILLE, FL 32608-3035
(352) 373-4107
(352) 373-2230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280423
AVMED
—
01
—
38426
BCBS
—
05
—
PENDING
—
FL
Enumeration date
07/22/2006
Last updated
12/13/2017
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