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 |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902856891 PECOS PAC ID: 4688577141 Enrollment ID: O20040130000927 |
Entity Name | Dedra Hern Crna Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679635924 PECOS PAC ID: 0941260996 Enrollment ID: O20041013001252 |
Entity Name | Florida Pain Relief Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245 |
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 |