| Sivan Odiz, | |
|
401 Nw 42nd Ave, Plantation, FL 33317-2835 | |
| (954) 587-5010 | |
| Not Available |
| Full Name | Sivan Odiz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 401 Nw 42nd Ave, Plantation, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043808165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9116792 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Fl-i Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750655106 PECOS PAC ID: 9133381809 Enrollment ID: O20120426000191 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Sivan Odiz, 5603 Nw 107th Ave, Coral Springs, FL 33076-3107 Ph: (954) 867-6490 | Sivan Odiz, 401 Nw 42nd Ave, Plantation, FL 33317-2835 Ph: (954) 587-5010 |
Rebecca Isabel Urrutia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Sw 84th Ave Ste 102, Plantation, FL 33324 Phone: 954-720-1530 Fax: 954-720-6540 |
Gabriel Vaserstein, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Nw 82nd Ave, S. 501, Plantation, FL 33324 Phone: 954-473-6750 |
Mr. Alain Carrazana, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8201 W Broward Blvd, Plantation, FL 33324 Phone: 813-343-5500 Fax: 813-343-5506 |
Margaret J Miller, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 861 Sw 78th Ave, Suite #100b, Plantation, FL 33324 Phone: 877-693-5700 Fax: 954-693-0005 |
Ms. Ashley Elizabeth Marriott, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7700 W Sunrise Blvd, Plantation, FL 33322 Phone: 954-939-5000 |
Mr. Dave Norman Caldera Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8320 W Sunrise Blvd Ste 200, Plantation, FL 33322 Phone: 844-665-4827 |
Mrs. Vanessa Grimaldi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313 Phone: 954-791-0711 |