Healthcare Provider Details

I. General information

NPI: 1629614805
Provider Name (Legal Business Name): KELLI ALLISON LOVIER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 S OCEAN DR STE 209
HOLLYWOOD FL
33019-2915
US

IV. Provider business mailing address

3800 S OCEAN DR STE 209
HOLLYWOOD FL
33019-2915
US

V. Phone/Fax

Practice location:
  • Phone: 800-226-8874
  • Fax:
Mailing address:
  • Phone: 800-226-8874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23381
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: