Individual
BRUCE W KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2100 SAXON BLVD, DELTONA, FL 32725-3251
(386) 789-0030
(386) 789-0706
Mailing address
2100 SAXON BLVD, DELTONA, FL 32725-3251
(386) 789-0030
(386) 789-0706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS30738
FL
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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