MEDICARE: ODEVELYNE BRESCA SAINT-SAUVEUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	0024195638	VA
2	163W00000X	Registered Nurse	RN9174002	FL
3	367500000X	Certified Registered Nurse Anesthetist	APRN9174002	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720468945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODEVELYNE BRESCA SAINT-SAUVEUR

Provider Business Mailing Address
First Line	:	818 HAVEN OAK CT
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-4464
Country	:	US
Telephone Number	:	407-953-9093
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 HAVEN OAK CT
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-4464
Country	:	US
Telephone Number	:	407-953-9093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	03/17/2026

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