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TARA KELLY A.R.N.P.
NPI 1376689547
Nurse Practitioner - Pediatrics in Miramar, FL

Active since January 29, 2007
3220 S DOUGLAS RD STE B, MIRAMAR, FL 33025(954) 436-8444(954) 436-1159 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Kelly A.r.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA KELLY A.R.N.P. (NPI 1376689547) is an individual pediatrics provider in Miramar, Florida, licensed in Florida (2170262) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1376689547
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTARA KELLYCredential: A.R.N.P.
Location Address3220 S DOUGLAS RD STE BMiramar, FL 33025-2734
Mailing Address16264 Seneca CirDavie, FL 33331-2112 · (954) 252-9330
Phone(954) 436-8444
Fax(954) 436-1159
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376689547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · 2170262
3220 S DOUGLAS RD STE B, Miramar, FL 33025
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRICS PA
Clinic/Center (Primary Care)
3220 S DOUGLAS RD STE B
MIRAMAR, FL 33025
Broward County (954) 436-8444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Kelly's NPI number?

The NPI number for Tara Kelly is 1376689547. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Tara Kelly located?

Tara Kelly practices at 3220 S Douglas Rd Ste B, Miramar, FL 33025. The listed phone number is (954) 436-8444.

What is Tara Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tara Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.