Kelly, Tara

Kelly, Tara is an individual health care provider with primary practice located at 3220 S Douglas Rd Ste B , Miramar FL 33025-2734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Tara can be contacted via phone (954) 436-8444.

Contact Information

Primary practice address
3220 S Douglas Rd Ste B Miramar FL 33025-2734
Phone: (954) 436-8444
Fax: (954) 436-1159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2170262 Florida

Profile Details

NPI number 1376689547
LBN Legal business name Kelly, Tara
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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