ERICA L. O'DONNELL DOPA NPI 1144333105

NPI Information

NPI: 1144333105
Provider Name: ERICA L. O'DONNELL DOPA
Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1400 HAND AVE
SUITE K
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 673-0517
Get Directions

ERICA L. O'DONNELL DOPA is an adolescent medicine family medicine in Ormond Beach, FL. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. ERICA L. O'DONNELL DOPA NPI is 1144333105. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 HAND AVE
SUITE K
ORMOND BEACH, FL
ZIP 32174-194
Phone: (386) 673-0517
Fax: (386) 671-6458

The provider's authorized official is Erica Lynne O'donnell .
The authorized official title is President and has the following contact phone number (386) 673-0517.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	OS7905	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80184473	OTHER	FLORIDA	TRICARE RAILROAD
2	01768	OTHER	FLORIDA	BLUE CROSS
3	7512263	OTHER	FLORIDA	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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