STEPHANIE BARONG ODOH

TAMPA, FL
NPI1245839521
Other NameSTEPHANIE BARONG CLAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9114554)
Additional Taxonomies363AM0700X Physician Assistant, Medical
363A00000X Physician Assistant
(Licence: TX  PA14142)
Enumeration Date2020-10-19
Last Update Date2023-06-27
Business Address
STEPHANIE BARONG ODOH PA-C
2727 W DR MARTIN LUTHER KING JR BLVD STE 630
TAMPA, FL 33607-6399
Phone number: 813-397-5300
Mailing Address
STEPHANIE BARONG ODOH PA-C
PO BOX 82969
TAMPA, FL 33682-2969
Phone number: 813-866-0930