MEDICARE: KELLEY WINFREY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS11127	FL

General Provider Information

NPI Number	:	1386076321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEY WINFREY DO

Provider Business Mailing Address
First Line	:	3755 S US HIGHWAY 27
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7640
Country	:	US
Telephone Number	:	352-394-4035
Fax Number	:	352-394-8585

Provider Business Practice Location Address
First Line	:	3755 S US HIGHWAY 27
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7640
Country	:	US
Telephone Number	:	352-394-4035
Fax Number	:	352-394-8585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2013
Last Update Date	:	06/22/2026

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Directions to “ KELLEY WINFREY DO” Practice Location

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