Active NPI
Marvin Odro, DPM
- Podiatrist
- Lakeland, FL
National Provider Identifier
1316939424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 0000788
- Practice address
- 2939 S Florida Ave
Lakeland, FL 33803-4046 - Phone
- (863) 687-3404
- Fax
- (863) 687-4672
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 0000788 | FL | Primary |
Addresses
Primary practice location
2939 S Florida Ave
Lakeland, FL 33803-4046
Mailing address
2939 S Florida Ave
Lakeland, FL 33803-4046
Phone (863) 687-3404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 0000788 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odro, Fazekas & Werd PA | Podiatrist | Current | Accepting new patients |
| Odro, Fazekas & Werd PA | Podiatrist | Past | Accepting new patients |
Locations
2939 S Florida Ave
Lakeland, FL 33803
Phone (813) 687-3404
3255 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-5525
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316939424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2939 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034046",
"telephone_number": "863-687-3404",
"fax_number": "863-687-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034046",
"telephone_number": "863-687-3404",
"fax_number": "863-687-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODRO",
"first_name": "MARVIN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 0000788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Amy Odermatt
- Ryan M Odil, O.D.
- Nicole E Odom, PHARM D
- Odro, Fazekas & Werd PA (Foot and Ankle Associates)
- Odro, Fazekas & Werd PA (Foot & Ankle Associates)
- Mary Jane Oglesby, LMHC
- Ohi Lakeland Highlands Inc (Orlando Health Watson Clinic Lakeland Highlands Hospital)
- Ohi Lakeland Highlands Inc (Orlando Health Emergency Room - North Lakeland)
- Brooke Ohlman
- Ezer A Ojeda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.