Individual
DR. SUSAN STABA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2501 N ORANGE AVE, SUITE 589, ORLANDO, FL 32804-4603
(407) 303-1300
(407) 303-1301
Mailing address
2501 N ORANGE AVE, SUITE 589, ORLANDO, FL 32804-4603
(407) 303-1300
(407) 303-1301
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
M8760
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME79161
FL
Other
Enumeration date
06/09/2006
Last updated
03/29/2017
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