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ROBERT L ODELL MD
NPI 1750770715
Family Medicine in Ft Lauderdale, FL

Active since January 14, 2015CLIA 10D1105794 · Waiver
4002 N OCEAN BLVD, FT LAUDERDALE, FL 33308(654) 563-6784(954) 563-6324 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert L Odell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT L ODELL MD (NPI 1750770715) is a healthcare organization registered as a family medicine in Ft Lauderdale, Florida and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Robert L Odell, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1750770715
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT L ODELL MD
Location Address4002 N OCEAN BLVDFt Lauderdale, FL 33308-6420
Mailing Address4002 N Ocean BlvdFt Lauderdale, FL 33308-6420 · (654) 563-6784 · Fax (954) 563-6324
Phone(654) 563-6784
Fax(954) 563-6324
Organization SubpartNo
Authorized OfficialRobert L OdellOwner/president · (954) 563-6784
Enumeration DateJanuary 14, 2015
✔ NPI 1750770715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME59026
Definition
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.
4002 N OCEAN BLVD, Ft Lauderdale, FL 33308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1105794

Robert Odell MD · Fort Lauderdale, FL
Active · expires Sep 28, 2027
CLIA Number10D1105794
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorRobert L. Odell
Laboratory Phone(954) 563-6784
Laboratory LocationRobert Odell MD4002 North Ocean Blvd, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT LESLIE ODELL M.D.
Family Medicine
4002 N OCEAN BLVD
FORT LAUDERDALE, FL 33308
Broward County (954) 563-6784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert L Odell MD's NPI number?

The NPI number for Robert L Odell MD is 1750770715. It was assigned to this organization in the NPPES registry on January 14, 2015.

Where is Robert L Odell MD located?

Robert L Odell MD is located at 4002 N Ocean Blvd, Ft Lauderdale, FL 33308. The listed phone number is (654) 563-6784.

What is Robert L Odell MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Robert L Odell MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1105794) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Robert L Odell MD was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.