Individual
MICHAEL KYLE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
7846 MINUTEMEN LOOP, WINTER GARDEN, FL 34787-5153
(407) 592-6222
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
FL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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