MEDICARE: KELLI MARIE ASHE D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3907	FL
2	213E00000X	Podiatrist	PO3907	FL

General Provider Information

NPI Number	:	1730476649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI MARIE ASHE D.P.M.

Provider Business Mailing Address
First Line	:	15815 SHADDOCK DR STE 130
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5773
Country	:	US
Telephone Number	:	407-605-2321
Fax Number	:	407-671-4155

Provider Business Practice Location Address
First Line	:	3500 E FLETCHER AVE STE 133
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-4709
Country	:	US
Telephone Number	:	813-971-5500
Fax Number	:	407-671-4155

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	03/18/2026

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