Marty Odom (NPI# 1265520662, PAC ID# 7719943737) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265520662 |
| PAC ID by PECOS | 7719943737 |
| Professional Enrollment ID | I20041202000204 |
| Full Name | Marty Odom |
| Organization Legal Name | FLORIDA MEDICAL CLINIC, LLC |
| Address |
16646 N Dale Mabry Hwy Tampa FL 33618-1400 |
| Phone Number | 8139085253 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9931003068 |
| Number of Group Practice Members | 383 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| 100271 | MOFFITT CANCER CENTER & RESEARCH INSTITUTE INC |
| Address | Phone | Organization |
|---|---|---|
| 12500 N Dale Mabry Hwy, Tampa, FL 33618-2809 | 8139681727 | FLORIDA MEDICAL CLINIC, LLC |
| 16646 N Dale Mabry Hwy, Tampa, FL 33618-1400 | 8139085253 | FLORIDA MEDICAL CLINIC, LLC |
| Organization Legal Name | FLORIDA MEDICAL CLINIC, LLC |
| Physicians | 347 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Resham Datta | Pain Management | Florida Medical Clinic, LLC | 36763 Eiland Blvd, Suite 201, Zephyrhills, FL 33542-0601 |
| Denisha D Rodriguez | Nurse Practitioner | Florida Medical Clinic, LLC | 7229 U S Hwy 301 S, Riverview, FL 33578-4346 |
| Sean Michael Lannon | Orthopedic Surgery | Florida Medical Clinic, LLC | 38107 Market Sq, Zephyrhills, FL 33542-7505 |
| Marissa Noelle Johnson | Nurse Practitioner | Florida Medical Clinic, LLC | 13417 Us Hwy 301, Dade City, FL 33525-5446 |
| Leah Marie Terry | Nurse Practitioner | Florida Medical Clinic, LLC | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 |
| Brettashley Montero | Nurse Practitioner | Florida Medical Clinic, LLC | 12500 N Dale Mabry Hwy, Tampa, FL 33618-2809 |
| Erika Saunders | Nurse Practitioner | Florida Medical Clinic, LLC | 10004 N Dale Mabry Hwy, Suite 101, Tampa, FL 33618-4421 |
| Nereida Jaime | Nurse Practitioner | Florida Medical Clinic, LLC | 6836 Medical View Ln, Zephyrhills, FL 33542-6615 |
| Jacy L Higby | Physician Assistant | Florida Medical Clinic, LLC | 36819 Eiland Blvd, Zephyrhills, FL 33542-7505 |
| Brittany B Wilson | Clinical Social Worker | Florida Medical Clinic, LLC | 2352 Bruce B Downs Blvd, Suite 304, Wesley Chapel, FL 33544-9203 |
| Street Address |
16646 N DALE MABRY HWY |
| City | TAMPA |
| State | FL |
| Zip | 33618-1400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra K Gonzalez | Clinical Social Worker | 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 | |
| Helen Y Choi | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Mohammed A Ali | Rheumatology | American Arthritis and Rheumatology Associates LLC | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Dario A Grisales | Interventional Pain Management | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Bruce Edson | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Julie K Linton | Clinical Social Worker | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Elizabeth H Zable | Rheumatology | Elizabeth H. Zable, M.d., P.a. | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Sarah Drapela | Certified Nurse Midwife (cnm) | Florida Medical Clinic, LLC | 16650 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
| Kristin Parchmon | Nurse Practitioner | Florida Hospital Physician Group Inc | 15602 N Dale Mabry Hwy, Tampa, FL 33618-1606 |
| Kevin K Barrido | Optometry | 15835 N Dale Mabry Hwy, Tampa, FL 33618-1646 | |
| Find all physicians in zip 33618 | |||
| City | TAMPA |
| Zip Code | 33618 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TAMPA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Marty Odom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.