Individual
DR. ANGELA IFEOMA ODEZULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8333 N DAVIS HWY FL 4, PENSACOLA, FL 32514-6050
(850) 969-7979
(833) 294-3763
Mailing address
8333 N DAVIS HWY FL 4, PENSACOLA, FL 32514-6050
(850) 969-7979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010005182
MO
207RC0000X
Cardiovascular Disease Physician
LT17046
ME
207RC0000X
Cardiovascular Disease Physician
Primary
OS17328
FL
208M00000X
Hospitalist Physician
2010005182
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108793400
—
FL
05
—
1952588055
—
IL
05
—
1952588055
—
MO
01
—
NA188
FL MEDICARE
FL
Enumeration date
01/31/2008
Last updated
04/10/2023
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