Individual provider · Type 1 NPI

Susan Nancy Odell, PAC CDE

Medical Physician Assistant · Sunrise, FL

NPI number 1053385211 Active

Practice location

8399 W Oakland Park Boulevard, Suite A
Sunrise, FL 33351

Call (954) 741-4181 Map

Fax (954) 746-8699

Mailing address

401 SW 4th Avenue, #1500
Fort Lauderdale, FL 33315

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101438 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1053385211

Susan Nancy Odell, PAC CDE's National Provider Identifier is 1053385211, issued on Feb 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sunrise, FL. The record was last updated on Sep 3, 2010.