Provider Demographics
NPI:1669816047
Name:ODAM, FRANCES I (CPC CERTIFIED)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:I
Last Name:ODAM
Suffix:
Gender:F
Credentials:CPC CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 NIGHTSCAPE CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1619
Mailing Address - Country:US
Mailing Address - Phone:904-472-6748
Mailing Address - Fax:904-619-6693
Practice Address - Street 1:3512 NIGHTSCAPE CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1619
Practice Address - Country:US
Practice Address - Phone:904-472-6748
Practice Address - Fax:904-619-6693
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008947700Medicaid