JOHN EDWARD KELLY

LEESBURG, FL
NPI1255876041
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109928)
Enumeration Date2017-01-03
Last Update Date2017-01-03
Business Address
-- JOHN EDWARD KELLY PA
1340 CITIZENS BLVD
LEESBURG, FL 34748-3924
Phone number: 352-435-7695
Mailing Address
-- JOHN EDWARD KELLY PA
PO BOX 1621
INVERNESS, FL 34451-1621
Phone number: 352-726-2947
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