Purple Dogfish LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PURPLE DOGFISH LLC

Practice address

6150 Edgelake Dr
Sarasota, FL 34240-8803

Phone

(541) 954-3698

NPI assigned

Sep 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Melissa Marie Odermann

Title

DO

Phone

(541) 954-3698

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1588215362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18186",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342761186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 EDGELAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408803",
            "telephone_number": "541-954-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE DOGFISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "ODERMANN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "541-954-3698",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Lou Pulling, LMT
• Sandra Pulos, MA
• Diane Pulver, PTA
• Ana B Pupo Noris
• Kaitlyn Nguyen Purcell, DDS
• Paige M Putz, PHARMD
• Andrew C Pyatt
• QSH/Central Florida, LLC
• Quality Anesthesia Care Corp.
• Peter R Quarles, MD

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.