Individual
MS. SUSAN NANCY ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC CDE
Contact information
Practice address
8399 W OAKLAND PARK BOULEVARD, SUITE A, SUNRISE, FL 33351
(954) 741-4181
(954) 746-8699
Mailing address
401 SW 4TH AVENUE, #1500, FORT LAUDERDALE, FL 33315
(954) 462-6793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101438
FL
Other
Enumeration date
02/15/2006
Last updated
09/03/2010
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