Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John P Odonnell, PA-C

Individual provider Physician Assistant · NPI 1891795175

Mr. John P Odonnell, PA-C is a Physician Assistant in Lake City, Florida. Qualified in 2004, 22 years ago. Practices with Trenton Medical Center Inc, a 70-clinician group. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

173 NW Albritton Ln
Lake City, FL 32055-4451
Phone: (386) 755-4020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3548 (FL)

Record details

NPI number1891795175
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESAugust 15, 2007
Mailing address8622 133rd Ln, Live Oak, FL 32060-8837

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Trenton Medical Center Inc — 70 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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