Individual
KRIS M BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2777 ENTERPRISE RD, ORANGE CITY, FL 32763-8310
(386) 774-2550
(386) 774-5667
Mailing address
2777 ENTERPRISE RD, ORANGE CITY, FL 32763-8310
(386) 774-2550
(386) 774-5667
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OS10451
FL
208D00000X
General Practice Physician
Primary
OS10451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02001471A
INDIANA LICENSE
IN
01
—
02001471B
CSR
IN
01
—
0S10451
FLORIDA LICENCE
FL
01
—
17085
BCBSFL
FL
Enumeration date
05/23/2006
Last updated
03/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us