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Individual

KELLY ANN COLLURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3260 MURRELL RD STE 102, ROCKLEDGE, FL 32955-4569
(321) 632-8092
(321) 632-7520
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243
(800) 928-7449

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9404112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106050000
FL
Enumeration date
11/12/2018
Last updated
02/06/2025
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