Organization
INNOCENT ODOCHA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNOCENT ODOCHA MD (PRESIDENT)
(352) 371-3212
Entity
Organization
Contact information
Practice address
816 NW 13TH ST, GAINESVILLE, FL 32601-2903
(352) 371-3212
(352) 371-3213
Mailing address
816 NW 13TH ST, GAINESVILLE, FL 32601-2903
(352) 371-3212
(352) 371-3213
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME86683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266453400
—
FL
01
—
57823
BLUE CROSS BLUE SHIELD
—
01
—
P00179043
RAILROAD MEDICARE
—
Enumeration date
03/20/2007
Last updated
05/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us