Robert L Odell MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME59026 Issued in FL

Legal business name

ROBERT L ODELL MD

Practice address

4002 N Ocean Blvd
Ft Lauderdale, FL 33308-6420

Phone

(654) 563-6784

Fax

(954) 563-6324

NPI assigned

Jan 14, 2015

Organization subpart

No

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

Authorized official

Name

Robert L Odell, M.D.NPI 1942315338

Title

Owner/President

Phone

(954) 563-6784

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Leslie Odell, M.D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1942315338
  NPD (past) Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1750770715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086420",
            "telephone_number": "654-563-6784",
            "fax_number": "954-563-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 N OCEAN BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086420",
            "telephone_number": "654-563-6784",
            "fax_number": "954-563-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L ODELL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "954-563-6784",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Walsh RPT, D.C. P.a (walsh wellness center)
• Robert J Catanzaro M.D.
• Robert J. Shepard, O.D. P.a.
• Robert J. Van Der Leest MD, Inc.
• Robert K Hall DPM PA
• Robert L. Kagan M.D., P.a.
• Robert Nguyen DPM LLC
• Robert Seiler LLC (Global DME Solutions)
• Pharytza G Robert
• Kristina Roberti, DMD

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.