Individual
LARISA COYE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4477 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL 33407-3286
(561) 471-1808
Mailing address
4477 MEDICAL CENTER WAY, SUITE A, WEST PALM BEACH, FL 33407-3286
(561) 471-1808
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME98953
FL
Other
Enumeration date
11/30/2006
Last updated
06/23/2011
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