NPI
Susan Staba Kelly
NPI 1235170242
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2006-06-09
- Last updated
- 2017-03-29
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Specialties
Licenses
- License FL
- ME79161
- License TX
- M8760
Location
- Practice location
- 2501 N Orange Ave, Suite 589
- City
- Orlando FL
- Postal code
- 32804-4603
- Phone
- (407) 303-1300
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Orlando, FL. 32,964 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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