DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ASHLEY ODOM

Active Sole Proprietor

Developmental Disabilities Clinic · FORT PIERCE, FL

Registration Details

NPI Number
1750824470
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2016 (9.4327538443788 yrs)
Last Updated
Nov 29, 2016
License
813994458 (FL)
Sole Proprietor
Yes

Practice Information

Address
5003 WINTER GARDEN PKWY
FORT PIERCE, FL, 349512031
Browse FL providers · Browse ZIP 34951
Phone
7722070566
Primary Specialty
Developmental Disabilities Clinic
261QD1600X

Other Developmental Disabilities Clinic Providers in FORT PIERCE, FL

Name Credential NPI
MRS. TAKEISHA MITCHELL-INGRAM 1801312830
GAYLEANN KING 1063920882
CHRISTY WOODS 1134602691
MS. LEONA M. KELLY 1265083232
TARIA JONES 1144811431
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.