Individual
MR. JAMES RYAN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112361
FL
Other
Enumeration date
05/13/2019
Last updated
09/06/2019
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