Lafave, Kelly E

Lafave, Kelly E is an individual health care provider with primary practice located at 483 N Semoran Blvd Ste 107 , Winter Park FL 32792-3800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Lafave, Kelly E can be contacted via phone (407) 539-0722.

Contact Information

Primary practice address
483 N Semoran Blvd Ste 107 Winter Park FL 32792-3800
Phone: (407) 539-0722
Fax: (407) 539-0723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME106904 Florida

Profile Details

NPI number 1376745612
LBN Legal business name Lafave, Kelly E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated May 13th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376745612 NPPES
Florida Other DJ631Z MEDICARE ID
Florida MEDICAID 0022468 MEDICARE ID

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