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Contact Information

LISA ODENDAL, MD
501 6TH AVE S
SAINT PETERSBURG, FL33701
 Phone: 727-767-3051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LISA ODENDAL · (Female)

NPI Number 1427560804
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2017
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 133859
Hospital affiliation(s) Not Available
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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