KELLY MUDON


Address: 10300 Sw 216th St, Miami, FL 33190-3319
Phone: 7862935502

KELLY MUDON (NPI# 1699207076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699207076
Entity Type Individual
Full Name KELLY MUDON
Practice Address 10300 Sw 216th St
Miami
FL 33190-3319
Mailing Address 1662 L1/2 Rd.
Fruita
CO 81521
Practice Telephone 7862935502
Enumeration Date 2017-04-03
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OS16971 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1662 L1/2 Rd., Fruita, CO 81521 9702701292

Office Location

Street Address 10300 SW 216TH ST
City MIAMI
State FL
Zip Code 33190-3319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104467638 Brittney O'neill Nurse Practitioner 10300 Sw 216th St, Miami, FL 33190-1003 2019-10-07
1538718317 Lorilee Agatha Graham Midwife 10300 Sw 216th St, Miami, FL 33190-1003 2019-09-05
1518442334 Claudia Rivera Registered Nurse 10300 Sw 216th St, Miami, FL 33190 2018-09-27
1538690813 Paulin Gotrace Family Medicine 10300 Sw 216th St, Miami, FL 33190-3319 2017-03-27
1134523871 Magalie Samson Family Medicine 10300 Sw 216th St, Miami, FL 33190 2014-10-09
1033536131 Cristina Colon-del Toro Psychiatry & Neurology 10300 Sw 216th St, Miami, FL 33190 2014-03-26
1558612143 Carrie L Blanchard Counselor 10300 Sw 216th St, Miami, FL 33190 2012-09-24
1447514583 Verna Hill Social Worker 10300 Sw 216th St, Miami, FL 33190 2012-07-03
1497038764 Nikki Barlia Counselor 10300 Sw 216th St, Miami, FL 33190 2011-09-23
1255632477 Irina Rodriguez Physician Assistant 10300 Sw 216th St, Miami, FL 33190-1003 2010-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578081519 Dunisleydis Gil Behavior Technician 10260 Sw 226 Terr, Cutler Bay, FL 33190 2017-08-30
1033634910 Elizabeth Benavidez Ramirez Student in an Organized Health Care Education/Training Program 10300 Sw 126th St., Cutler Bay, FL 33190 2017-08-11
1770015323 Keisha Andre Registered Nurse 22501 Sw 88 Place, Cutler Bay, FL 33190 2017-04-03
1508304247 Yeily Fadul Behavior Technician 22101 Sw 100th Pl, Cutler Bay, FL 33190 2017-02-02
1578016408 Cecilia Guevara Behavior Technician 21720 Sw 104th Ct Apt 110, Cutler Bay, FL 33190 2016-07-27
1174974083 Maria I Franco Diaz Behavioral Analyst 10380 Sw 225th Ter, Cutler Bay, FL 33190 2016-06-22
1902267867 Danielle Kristina Beharie Student in an Organized Health Care Education/Training Program 10300 Sw 216th St., Miami, FL 33190 2016-03-18
1427427475 Marielsie Morales-estrada Social Worker 10393 Sw 224th Ter, Cutler Bay, FL 33190 2015-09-21
1104221027 Gregory Fignole Nurse Practitioner 13300 Sw 216 Street, Miami, FL 33190 2014-11-04
1033526785 Howard Pratt Psychiatry & Neurology 10300 S.w. 216th Street, Miami, FL 33190 2014-07-15
Find all providers in zip 33190

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053912550 Wound Integrity Florida Pa Family Medicine 111 Ne 1st St # 1011, Miami, FL 33132-2506 2020-11-03
1700486933 Orlando Jorge Diaz Family Medicine 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 2020-10-27
1386242402 Michelle Andrea Von Der Heyde Family Medicine 2806 Sw 145th Ct, Miami, FL 33175-7479 2020-10-12
1558968008 Vera Medical Practice LLC Family Medicine 6741 Coral Way Ste 44, Miami, FL 33155-1767 2020-10-07
1396342069 Navarro Medical Centers LLC Family Medicine 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 2020-10-06
1477160513 Marta Yamilex Herrera Lorenzo Family Medicine 500 Sw 120th Ave, Miami, FL 33184-1643 2020-09-23
1336753482 Vielka D Centeno Family Medicine 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 2020-09-06
1164031670 Yanet Ybanez Alvarez Family Medicine 6201 Coral Lake Dr, Miami, FL 33155-5938 2020-07-30
1093323107 Jalima Jimenez Morejon Family Medicine 23103 Sw 107th Pl, Miami, FL 33170-7545 2020-07-15
1548878655 Lisandra Franco Porto Family Medicine 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 2020-07-15
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Competitor

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City MIAMI
Zip Code 33190

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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