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1407399470
FRED A KELLY
MAITLAND, FL
NPI
1407399470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9366837)
Enumeration Date
2016-11-23
Last Update Date
2017-01-31
Business Address
Mr. FRED A KELLY ARNP
500 WINDERLEY PL #115
MAITLAND, FL 32751
Phone number: 407-952-5705
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Mailing Address
Mr. FRED A KELLY ARNP
1114 CAMBRIDGE ST
DELTONA, FL 32725-3652
Phone number: 407-952-5705
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