| Dr Dorothy Jean Odom, MD | |
|
550 E State Road 434, Longwood, FL 32750-5222 | |
| (407) 262-5800 | |
| (407) 331-4840 |
| Full Name | Dr Dorothy Jean Odom |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 550 E State Road 434, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366693061 | NPI | - | NPPES |
| 001119100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME98199 (Florida) | Primary |
| Entity Name | Physician Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137280 PECOS PAC ID: 0244135093 Enrollment ID: O20031204000591 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Orlando Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568693554 PECOS PAC ID: 7719026251 Enrollment ID: O20091123000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dorothy Jean Odom, MD 235 N Westmonte Dr, Altamonte Springs, FL 32714-3345 Ph: (407) 389-5300 | Dr Dorothy Jean Odom, MD 550 E State Road 434, Longwood, FL 32750-5222 Ph: (407) 262-5800 |
Milton Mcnichol, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1912 Boothe Cir Ste 200, Longwood, FL 32750 Phone: 407-287-6622 | |
Dr. Brenda Sison Wilkinson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2050 Ackola Pt, Longwood, FL 32779 Phone: 321-436-5592 | |
Dr. Brandon Edward Locklear, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 E State Road 434, Longwood, FL 32750 Phone: 407-635-3026 Fax: 321-203-4614 |