Individual
DR. PATRICK KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN11507
FL
2085R0001X
Radiation Oncology Physician
Primary
ME112281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006099100
—
FL
01
—
ME112281
MEDICAL LICENSE
FL
Enumeration date
06/29/2007
Last updated
11/09/2016
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