Tara Kelly is a Pediatrics in Miramar, Florida. Tara Kelly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tara Kelly is 1376689547. The last update date is 2007-07-08.
Tara Kelly's current location address is 3220 S Douglas Rd Ste B, Miramar, Florida. You can contact this provider via phone number 9544368444 and fax number 9544361159. The mailing address for Tara Kelly is 3220 S Douglas Rd Ste B, Miramar, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Kelly |
|---|---|
| Address | 3220 S Douglas Rd Ste B, Miramar, Florida |
| Phone Number | 9544368444 |
| Fax Number | 9544361159 |
| Sole Proprietor | N |
| Credentials | A.R.N.P. |
NPI Number Detail
| NPI Number | 1376689547 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3220 S Douglas Rd Ste B |
|---|---|
| City | Miramar |
| State | Florida (FL) |
| Post Code | 3302527340 |
| Phone Number | 9544368444 |
| Fax Number | 9544361159 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 2170262 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tara Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Kelly has been assigned the NPI (National Provider Identifier) 1376689547. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tara Kelly?
The Tara Kelly is physically situated at 3220 S Douglas Rd Ste B, in the city of Miramar, state of FL, with the postal code 3302527340.
What is the Tara Kelly's area of specialization and corresponding taxonomy classification?
The Tara Kelly's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Tara Kelly receive the assignment of its 1376689547 from the Centers for Medicare & Medicaid Services?
The Tara Kelly was issued its 1376689547 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information regarding Tara Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tara Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN