Simon, Esan Odell

Simon, Esan Odell is an individual health care provider with primary practice located at 15100 Rescue Way Uscg Air Station Clearwater Medical Clinic, Clearwater FL 33762-3502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Simon, Esan Odell can be contacted via phone (727) 535-1437.

Contact Information

Primary practice address
15100 Rescue Way Uscg Air Station Clearwater Medical Clinic Clearwater FL 33762-3502
Phone: (727) 535-1437
Fax: (727) 535-4190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101102764 Virginia
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101102764 Virginia

Profile Details

NPI number 1841276433
LBN Legal business name Simon, Esan Odell
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 22nd, 2013 - about 12 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.

Request for update

Popular Providers