Stacey J Oddman
Family Doctor - Adult Medicine
8100 Sw 10th St Fl 3
Plantation
, Florida 33324-3279
Stacey J Oddman
Family Doctor - Adult Medicine
8100 Sw 10th St Fl 3
Plantation
, Florida 33324-3279
(305) 689-3627
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Stacey J Oddman
- 8100 Sw 10th St Fl 3
- Plantation, FL
- Zip : 33324-3279
- Phone : (305) 689-3627
Second Address
- Stacey J Oddman
- 8100 Sw 10th St Fl 3
- Plantation, FL
- Zip : 33324-3279
- Phone : (305) 689-3627
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | ME87585 | FL |
National Provider Identifier
| NPI | 1003921222 |
|---|---|
| Provider Name | Stacey J Oddman |
| First Address | Plantation, FL 33324-3279 |
| Second Address | Plantation, FL 33324-3279 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 13/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 272897400 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.