Odendal, Lisa

Odendal, Lisa is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Odendal, Lisa can be contacted via phone (727) 767-3051.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701
Phone: (727) 767-3051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 133859 Florida

Profile Details

NPI number 1427560804
LBN Legal business name Odendal, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2017
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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