MEDICARE: KELCI CADOGAN RN

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	163WI0500X	Infusion Therapy Registered Nurse	RN9649187	FL

General Provider Information

NPI Number	:	1003761289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELCI CADOGAN RN

Provider Business Mailing Address
First Line	:	7415 NW 4TH BLVD STE 20
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-2176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7415 NW 4TH BLVD STE 20
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-2176
Country	:	US
Telephone Number	:	352-756-4147
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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