Kelly, Susan Staba

Kelly, Susan Staba is an individual health care provider with primary practice located at 2501 N Orange Ave Suite 589, Orlando FL 32804-4603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Kelly, Susan Staba can be contacted via phone (407) 303-1300.

Contact Information

Primary practice address
2501 N Orange Ave Suite 589 Orlando FL 32804-4603
Phone: (407) 303-1300
Fax: (407) 303-1301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X ME79161 Florida
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X M8760 Texas

Profile Details

NPI number 1235170242
LBN Legal business name Kelly, Susan Staba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 29th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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