Dr. Susan Staba Kelly
Pediatric Hematology-Oncologist
2501 N Orange Ave Suite 589
Orlando
, Florida 32804-4603
Dr. Susan Staba Kelly
Pediatric Hematology-Oncologist
2501 N Orange Ave Suite 589
Orlando
, Florida 32804-4603
(407) 303-1301
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About
Features
Specialties
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Susan Staba Kelly
- 2501 N Orange Ave Suite 589
- Orlando, FL
- Zip : 32804-4603
- Fax : (407) 303-1301
- Phone : (407) 303-1300
Second Address
- Dr. Susan Staba Kelly
- 2501 N Orange Ave Suite 589
- Orlando, FL
- Zip : 32804-4603
- Fax : (407) 303-1301
- Phone : (407) 303-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2080P0207X | Pediatric Hematology-Oncologist | M8760 | TX |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | ME79161 | FL |
National Provider Identifier
| NPI | 1235170242 |
|---|---|
| Provider Name | Dr. Susan Staba Kelly |
| First Address | Orlando, FL 32804-4603 |
| Second Address | Orlando, FL 32804-4603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 29/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.