Individual
KELLY DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9359156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104251400
—
FL
Enumeration date
06/04/2018
Last updated
03/31/2025
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