Individual
ELIZABETH VICTORIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-3529
Mailing address
1311 MAGNOLIA BAY CT, MAITLAND, FL 32751-6472
(407) 808-9247
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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