NPI 1053385211

Susan Nancy Odell, PACCDE

Practitioner Medical Physician Assistant Sunrise, FL

Practice location

Address: 8399 W Oakland Park Boulevard Suite a, Sunrise, FL 33351
Phone: (954) 741-4181
Fax: (954) 746-8699
Mailing address: 401 SW 4th Avenue #1500, Fort Lauderdale, FL 33315

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9101438 (FL)

Other Physician Assistant providers in Florida →

Registry record

NPI: 1053385211
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2006
Record last updated: 3 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.