| NPI | 1104629740 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2025-03-29 |
| Last Updated | 2025-11-04 |
| Authorized Official | Tracy Odom Owner/Nurse practitioner Phone: 3348581171 |
| Mailing Address | Po Box 342 Florala, AL 36442-0342 United States Phone: (334) 858-1171 | Fax: (334) 858-1184 📍 View Map |
| Primary Practice Address | 24245 5th Ave Florala, AL 36442-3523 United States Phone: (334) 858-1171 | Fax: (334) 858-1184 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1104629740
Florala Medical Associates, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104629740. The primary specialty listed is Family Medicine. The organization is located in Florala, AL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2025-03-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104629740?
NPI 1104629740 belongs to Florala Medical Associates, Llc, a Family Medicine in Florala, AL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104629740 active?
The current status of NPI 1104629740 in the NPPES registry is Active. The record was last updated on 2025-11-04.
What specialty is NPI 1104629740?
NPI 1104629740 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104629740?
You can verify NPI 1104629740 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104629740?
The primary practice address on file for NPI 1104629740 is 24245 5th Ave, Florala, AL 36442-3523. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104629740 issued?
NPI 1104629740 was first issued (enumerated) on 2025-03-29. The NPPES record was last updated on 2025-11-04.
Practice Location Map
Florala Medical Associates, Llc is located at 24245 5th Ave, Florala, AL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Florala Medical Associates, Llc. All records sourced from the CMS NPPES registry.