Individual
ORLITA LALISSIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
467 DOMINICAN AVE SE, PALM BAY, FL 32909-4028
(772) 480-6715
Mailing address
467 DOMINICAN AVE SE, PALM BAY, FL 32909-4028
(772) 480-6715
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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