Individual provider · Type 1 NPI

Tara Kelly, A.R.N.P.

Pediatric Nurse Practitioner · Miramar, FL

NPI number 1376689547 Active

Practice location

3220 S Douglas Rd Ste B
Miramar, FL 33025-2734

Call (954) 436-8444 Map

Fax (954) 436-1159

Mailing address

16264 Seneca Cir
Davie, FL 33331-2112

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2170262 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1376689547

Tara Kelly, A.R.N.P.'s National Provider Identifier is 1376689547, issued on Jan 29, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Miramar, FL. The record was last updated on Jul 8, 2007.