# ERICA L. O'DONNELL DOPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144333105
- **Authorized official:** ERICA LYNNE O'DONNELL D.O. (PRESIDENT)
- **Authorized official phone:** (386) 673-0517

## Contact information

- **Practice address:** 1400 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-8194
- **Practice address phone:** (386) 673-0517
- **Practice address fax:** (386) 671-6458
- **Mailing address:** 1400 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-8194
- **Mailing address phone:** (386) 673-0517
- **Mailing address fax:** (386) 671-6458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | OS7905 | FL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020