10D1093082 CLIA NUMBER - INNOCENT ODOCHA MD PA

Laboratory Demographics

CLIA Number: 10D1093082

Facility Name: INNOCENT ODOCHA MD PA

Facility Address:
605 NE 1ST STREET
GAINESVILLE, FL
ZIP 32601
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Facility Phone Number: (352) 371-3212

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1568560829

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D1093082
LAB Type	PHYSICIAN OFFICE
Facility Name	INNOCENT ODOCHA MD PA
Street	605 NE 1ST STREET
City	GAINESVILLE
State	FL
ZIP	32601
Phone	(352) 371-3212

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This page was last updated on: 5/11/2023