Mrs Lesli Odum, is a
Clinic/center - Developmental Disabilities based in Orlando, Florida. Mrs Lesli Odum is licensed to practice in Florida (license number ) and her current practice location is
6396 Royal Tern St, Orlando, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 801-9628.
NPI number for Mrs Lesli Odum is 1982006268 and her current mailing address is 1070 Montgomery Rd Unit 279, Altamonte Springs, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982006268.
Healthcare Provider's Profile
| Full Name | Mrs Lesli Odum |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Developmental Disabilities |
|---|
| Location | 6396 Royal Tern St, Orlando, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982006268
- Provider Enumeration Date: 09/18/2014
- Last Update Date: 11/02/2021
Medical Identifiers
Medical identifiers for Mrs Lesli Odum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982006268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lesli Odum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Lesli Odum,
1070 Montgomery Rd Unit 279,
Altamonte Springs, FL 32714-7420
Ph: (407) 801-9628 | Mrs Lesli Odum,
6396 Royal Tern St,
Orlando, FL 32810-6012
Ph: (407) 801-9628 |
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