Individual
KELLY CASON DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511
(813) 916-0674
(813) 916-2910
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4313
(727) 767-4391
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OS13319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019314000
—
FL
Enumeration date
04/23/2012
Last updated
06/19/2018
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