Larry R Odom in Fort Lauderdale - Nurse Anesthetist, Certified Registered
Larry R Odom - NPI 1255369146
Larry R Odom is a Nurse Anesthetist, Certified Registered in Fort Lauderdale, Florida. Larry R Odom practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Larry R Odom is 1255369146. The last update date is 2014-05-06.
Larry R Odom's current location address is Po Box 551420, Fort Lauderdale, Florida. You can contact this provider via phone number 8002433839 and fax number 9548392569. The mailing address for Larry R Odom is Po Box 551420, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry R Odom |
|---|---|
| Address | Po Box 551420, Fort Lauderdale, Florida |
| Phone Number | 8002433839 |
| Fax Number | 9548392569 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1255369146 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2014-05-06 |
Provider Mailing Address Detail
| Address | Po Box 551420 |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333551420 |
| Phone Number | 8002433839 |
| Fax Number | 9548392569 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R051268 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000568884A | GA | -- | |
| 00568884A | GA | -- |
Post Comment/ Review Below
What is the Larry R Odom's 1255369146?
The Larry R Odom's NPI (National Provider Identifier) Number is 1255369146. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry R Odom?
The Larry R Odom is physically situated at Po Box 551420, in the city of Fort Lauderdale, state of FL, with the postal code 333551420.
What is the Larry R Odom's specialty and taxonomy code?
The Larry R Odom's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Larry R Odom receive its 1255369146 assignment from the Centers for Medicare & Medicaid Services?
The Larry R Odom was assigned its 1255369146 by the Centers for Medicare & Medicaid Services on 2006-06-29.
As of what date was the information regarding Larry R Odom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Larry R Odom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-06.