| Mrs Cynthia L Odom-brown, CRNA | |
|
5955 Jaegerglen Dr, Suite 1, Lithia, FL 33547-5864 | |
| (813) 315-9258 | |
| Not Available |
| Full Name | Mrs Cynthia L Odom-brown |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5955 Jaegerglen Dr, Lithia, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801829668 | NPI | - | NPPES |
| 150134701 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN9275981 (Florida) | Primary |
| Entity Name | Northwood Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Anesthesiology Professional Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
| Entity Name | Florida Pain Relief Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cynthia L Odom-brown, CRNA 5955 Jaegerglen Dr, Suite 1, Lithia, FL 33547-5864 Ph: (813) 315-9258 | Mrs Cynthia L Odom-brown, CRNA 5955 Jaegerglen Dr, Suite 1, Lithia, FL 33547-5864 Ph: (813) 315-9258 |
Mr. Bradley Kenneth Heffelfinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18716 Holly Pine Trl, Lithia, FL 33547 Phone: 815-383-0537 |