Female

Ms. Susan N. Odell PAC CDE

Medical Physician Assistant in Sunrise, FL(View on Map)

Full Name

Ms. Susan Nancy Odell PAC CDE

NPI Number

1053385211

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/15/2006

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9101438

Contact
Information

Purpose

Mailing
Location

Address

401 SW 4TH AVENUE
8399 W OAKLAND PARK BOULEVARD

City

Fort Lauderdale
Sunrise

State

FL
FL

Postal Code

33315
33351

Country

US
US

Telephone Number

(954) 462-6793
(954) 741-4181

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/03/2010

Provider Address

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