| Doctor Name: | MS. BRIDGET SHOULDERS-ODOM |
| NPI Number: | 1003079906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, ACNP-BC |
| License Number: | 2068242 |
| Business Practice Address: | 13000 Bruce B Downs Bld Tampa, FL - 33612 |
| Business Phone Number: | 8139722000 |
| Business Fax Number: | |
| Mailing Address: | 31047 Whitlock Dr, WESLEY CHAPEL |
| State: | FL |
| Postal Code: | 335433942 |
| Phone Number: | 8133838010 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2008 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 2068242 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |