Individual
KELLY FERRARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1890 LPGA BLVD STE 140, DAYTONA BEACH, FL 32117-7131
(386) 231-3284
Mailing address
1890 LPGA BLVD STE 140, DAYTONA BEACH, FL 32117-7131
(386) 231-3284
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11002839
FL
Other
Enumeration date
06/21/2019
Last updated
04/08/2022
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