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1376689547
TARA KELLY
MIRAMAR, FL
NPI
1376689547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 2170262)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- TARA KELLY A.R.N.P.
3220 S DOUGLAS RD STE B
MIRAMAR, FL 33025-2734
Phone number: 954-436-8444
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Mailing Address
-- TARA KELLY A.R.N.P.
16264 SENECA CIR
DAVIE, FL 33331-2112
Phone number: 954-252-9330
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