ESAN ODELL SIMON

CLEARWATER, FL
NPI1841276433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  0101102764)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0101102764)
Enumeration Date2005-12-16
Last Update Date2013-07-22
Business Address
Dr. ESAN ODELL SIMON M.D., M.B.A.
15100 RESCUE WAY USCG AIR STATION CLEARWATER MEDICAL CLINIC
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437
Mailing Address
Dr. ESAN ODELL SIMON M.D., M.B.A.
15100 RESCUE WAY USCG AIR STATION CLEARWATER MEDICAL CLINIC
CLEARWATER, FL 33762-3502
Phone number: 727-535-1437