SearchFlorida311ZA0620X

Angela Kelly

NPI 1992115547 · on the registry since 2014 · sole proprietor

Practice

Address
720 Valley Forge Rd
Jacksonville, FL 32208
Phone
(904) 405-9681

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida