Individual
ELIZABETH ODICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP-PC
Contact information
Practice address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 275-7100
(561) 275-7199
Mailing address
2640 FOREST HILL BLVD, WEST PALM BEACH, FL 33406-5931
(561) 275-7100
(561) 275-7199
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9428908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024941400
—
FL
Enumeration date
04/18/2018
Last updated
03/05/2025
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