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Organization
KELLYS HEAR CARE CENTERS
Active
Organization
KELLYS HEAR CARE CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E KELLY III NBC-HIS (OWER/PRESIDENT)
(954) 354-3738
Entity
Organization
Contact information
Practice address
600 FAIRWAY DRIVE, STE 100, DEERFIELD BEACH, FL 33441
(941) 795-2811
(941) 795-4889
Mailing address
600 FAIRWAY DRIVE, STE 100, DEERFIELD BEACH, FL 33441
(954) 354-3738
(954) 354-0171
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AS2745
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8168
BLCR/BLSHIED
FL
Enumeration date
09/04/2008
Last updated
09/04/2008
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