Healthcare Provider Details

I. General information

NPI: 1053703017
Provider Name (Legal Business Name): KELLY RAE RECCHIA DNP, ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY RAE SAXON DNP, ARNP-BC

II. Dates (important events)

Enumeration Date: 02/28/2015
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 BURNS RD STE 101
PALM BEACH GARDENS FL
33410-4360
US

IV. Provider business mailing address

9958 SW WACO TER
PALM CITY FL
34990-6220
US

V. Phone/Fax

Practice location:
  • Phone: 561-622-3618
  • Fax: 561-626-9822
Mailing address:
  • Phone: 954-650-9864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9313601
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: