Lisa Odendal
Pediatric Emergency Physician
501 6th Ave S
St Petersburg
, Florida 33701
Lisa Odendal
Pediatric Emergency Physician
501 6th Ave S
St Petersburg
, Florida 33701
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Lisa Odendal
- 15 Discovery Ridge Lane Sw
- Calgary, AB
- Zip : T3H 4Y3
- Phone :
Second Address
- Lisa Odendal
- 501 6th Ave S
- St Petersburg, FL
- Zip : 33701
- Phone : (727) 767-3051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 133859 | FL |
National Provider Identifier
| NPI | 1427560804 |
|---|---|
| Provider Name | Lisa Odendal |
| First Address | Calgary, AB T3H 4Y3 |
| Second Address | St Petersburg, FL 33701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2017 |
| Last Update Date | 31/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.