National Provider Identifier Database

LISA ODENDAL, MD – NPI #1427560804
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

LISA ODENDAL, MD
501 6TH AVE S
SAINT PETERSBURG, FL33701
Phone: 727-767-3051
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X

* Indicates primary specialty

NPI Profile & details for LISA ODENDAL

NPI Number 1427560804
Credentials MD
Entity Individual
Enumeration date 10/25/2017
Last updated 05/31/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • FL License #: 133859
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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