Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sivan Odiz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043808165

Sivan Odiz is a Student in an Organized Health Care Education/Training Program in Plantation, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

401 NW 42nd Ave
Plantation, FL 33317-2835
Phone: (954) 587-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8201 W Broward Blvd, Plantation, FL 33324-2701 — (954) 473-6600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116792 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043808165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address5603 Nw 107th Ave, Coral Springs, FL 33076-3107

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