Individual
CONOR DANIEL JAMES O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
72983
MN
207RH0003X
Hematology & Oncology Physician
ME168175
FL
207RX0202X
Medical Oncology Physician
Primary
72983
MN
Other
Enumeration date
02/13/2023
Last updated
05/15/2024
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