John P. Odonnell, PA-C

Physician Assistant · Lake City, FL

Individual Active NPI

NPI number 1891795175

Practice location

173 NW Albritton Ln
Lake City, FL 32055-4451
Phone
(386) 755-4020

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NPI record

NPI
1891795175
Entity type
Individual (Type 1)
Enumeration date
July 28, 2005
Last updated
August 15, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA3548 FL

Mailing address

8622 133rd Ln
Live Oak, FL 32060-8837
Phone
(386) 208-4084
Fax
(386) 752-9143

About John Odonnell

John P. Odonnell, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 173 NW Albritton Ln, Lake City, FL 32055-4451. The NPI number 1891795175 was assigned on July 28, 2005 and the record was last updated on August 15, 2007.

John Odonnell lists a license in the registry: #PA3548 (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 John P. Odonnell, PA-C?

The NPI number is 1891795175.

What is the phone number of John Odonnell?

The phone number listed for the practice location is (386) 755-4020.

Where is John Odonnell located?

173 NW Albritton Ln, Lake City, FL 32055-4451.

What is the taxonomy code for John Odonnell?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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