Healthcare Provider Details

I. General information

NPI: 1538078498
Provider Name (Legal Business Name): KELLY SAUNDERS CCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KELLY CADIGAN

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 S OLD DIXIE HWY
JUPITER FL
33458-7205
US

IV. Provider business mailing address

9869 WOODWORTH CT
WELLINGTON FL
33414-6409
US

V. Phone/Fax

Practice location:
  • Phone: 561-263-2234
  • Fax:
Mailing address:
  • Phone: 781-835-5338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: