Active NPIIndividual provider

Mrs. Marlesa A Dodd-O, PA-C

Physician Assistant in Daytona Beach, Florida

NPI Number1831543024
Practice location
305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 32117-5169
Fax
386-231-4459
Last updated
August 4, 2023

Marlesa Anne Dodd-O is a Physician Assistant based in Daytona Beach, FL. Marlesa Anne Dodd-O practices in Daytona Beach, FL and has the professional credentials of PA-C. The NPI Number for Marlesa Anne Dodd-O is 1831543024 and holds a License No. PA1160 (NH). The current practice location address for Marlesa Anne Dodd-O is 305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 32117-5169 and can be reached out via phone at 386-231-4450 and via fax at 386-231-4459.

Provider Profile Details

NPI Number
1831543024
Provider Name
Marlesa Anne Dodd-O
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 32117-5169
Phone Number
386-231-4450
Fax Number
386-231-4459
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2016
Last Update Date
August 4, 2023
Certification Date
July 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
State
Florida
Zip
32117-5169
Phone Number
386-231-4450
Fax Number
386-231-4459
Daytona Beach, FL 32117Get directions →

Provider Business Mailing Address Details

Address
305 Memorial Medical Pkwy Ste 206
Daytona Beach, FL 32117-5169
City
Daytona Beach
State
FL
Zip
32117-5169
Phone Number
386-231-4450
Fax Number
386-231-4459

License Information

License Number (1)
PA1160
License State (1)
NH
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA5633
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Marlesa A Dodd-O, PA-C?

The NPI number of Mrs. Marlesa A Dodd-O, PA-C is 1831543024. It was assigned on April 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marlesa A Dodd-O, PA-C?

Mrs. Marlesa A Dodd-O, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NH under license number PA1160.

Where does Mrs. Marlesa A Dodd-O, PA-C practice?

The practice location is 305 Memorial Medical Pkwy Ste 206, Daytona Beach, FL 32117-5169. The office can be reached at 386-231-4450 (phone) or 386-231-4459 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831543024 directly on the NPPES registry website.

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