Provider Demographics
NPI:1386276939
Name:DESAI, FELICIA KELLY (NP-C, RN-BC)
Entity type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:KELLY
Last Name:DESAI
Suffix:
Gender:F
Credentials:NP-C, RN-BC
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Mailing Address - Street 1:10025 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4329
Mailing Address - Country:US
Mailing Address - Phone:407-382-4218
Mailing Address - Fax:407-380-3228
Practice Address - Street 1:10025 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4329
Practice Address - Country:US
Practice Address - Phone:407-382-4218
Practice Address - Fax:407-380-3228
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00988000363LF0000X
FL11005210363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily