Individual
MR. DAEON AHKEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3730 GATLIN WOODS DR, ORLANDO, FL 32812-7610
(855) 832-6727
(772) 675-9100
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018626100
—
FL
Enumeration date
11/27/2017
Last updated
11/27/2017
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