10D1105794 CLIA NUMBER - ROBERT ODELL MD

Laboratory Demographics

CLIA Number: 10D1105794

Facility Name: ROBERT ODELL MD

Facility Address:
4002 NORTH OCEAN BLVD
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 954 563-6784

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942315338

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D1105794
LAB Type	Physician Office
Facility Name	ROBERT ODELL MD
Street	4002 NORTH OCEAN BLVD
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 563-6784
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024