MEDICARE: DR. YAZMIN ODIA M.D., M.S.

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	2084N0400X	Neurology Physician	ME128180	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891827465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YAZMIN ODIA M.D., M.S.

Provider Business Mailing Address
First Line	:	8479 SW 122ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-5121
Country	:	US
Telephone Number	:	646-634-9655
Fax Number	:

Provider Business Practice Location Address
First Line	:	8479 SW 122ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-5121
Country	:	US
Telephone Number	:	646-634-9655
Fax Number	:

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

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	12/23/2025

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