Most Relevant Information
Provider Data
| NPI Number: | 1003079906 |
| Provider Name: | BRIDGET SHOULDERS-ODOM MS, ACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 2068242 |
Most Important Dates
| Enumeration Date: | 07/10/2008 |
| Last Updated: | 07/10/2008 |
Provider Practice Location
13000 BRUCE B DOWNS BLD
TAMPA
FL
33612
Practice Location Phone/Fax
| Phone: | 8139722000 |
| Fax: |
Provider Mailing Location
31047 WHITLOCK DR
WESLEY CHAPEL
FL
335433942
Provider Mailing Phone/Fax
| Phone: | 8133838010 |
| Fax: |