Individual
DILLON MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9400 TURKEY LAKE RD, ORLANDO, FL 32819-8001
(407) 351-8587
Mailing address
9400 TURKEY LAKE RD, ORLANDO, FL 32819-8001
(407) 351-8587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
324554
LA
363A00000X
Physician Assistant
Primary
PA9115478
FL
Other
Enumeration date
10/20/2020
Last updated
12/23/2022
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