Odilie Bagwell AU. D CCC-A

NPI 1083925648 - Audiologist - 231H00000X

NPI Details
NPI 1083925648
Gender Female
Enumeration Date 06/29/2010
Last Updated 06/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4200 STATE ROAD 524
SUITE 103
COCOA FL, 32926-3560, US
Phone (321) 504-4327
Fax (321) 504-4387
Business Location
4200 STATE ROAD 524
SUITE 103
COCOA FL, 32926-3560, US
Phone (321) 504-4327
Fax (321) 504-4387
Toxanomy
Taxonomy Code 231H00000X
License State Florida
License Number AY 989
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According to our database, Dr. Odilie Bagwell AU. D CCC-A NPI is 1083925648, taxonomy code is 231H00000X and license number is AY 989, license state is located at Florida. Odilie Bagwell AU. D CCC-A physically located at 4200 State Road 524, Cocoa FL, 32926-3560. NPI Number Odilie Bagwell AU. D CCC-A has the Individual type.

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1083925648 NPI number is provided on an as is basis without warranty of any kind. 1083925648 is maintained by the National Plan & Provider Enumeration System. The contents of Odilie Bagwell AU. D CCC-A are for informational purposes only.