Sivan Odiz

Physician Assistant · Plantation, FL

Individual Active NPI

NPI number 1043808165

Practice location

401 NW 42ND Ave
Plantation, FL 33317-2835
Phone
(954) 587-5010

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NPI record

NPI
1043808165
Entity type
Individual (Type 1)
Enumeration date
January 5, 2021
Last updated
December 15, 2022
Certified
December 15, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9116792 FL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

5603 NW 107TH Ave
Coral Springs, FL 33076-3107
Phone
(954) 867-6490

Other practice locations (1)

  • 8201 W Broward Blvd, Plantation, FL 33324-2701 · (954) 473-6600

About Sivan Odiz

Sivan Odiz is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 401 NW 42ND Ave, Plantation, FL 33317-2835. The NPI number 1043808165 was assigned on January 5, 2021 and the record was last updated on December 15, 2022.

Sivan Odiz lists a license in the registry: #PA9116792 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sivan Odiz?

The NPI number is 1043808165.

What is the phone number of Sivan Odiz?

The phone number listed for the practice location is (954) 587-5010.

Where is Sivan Odiz located?

401 NW 42ND Ave, Plantation, FL 33317-2835.

What is the taxonomy code for Sivan Odiz?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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