MEDICARE: KELLI RENEE GARNER DNP, CRNA

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	367500000X	Certified Registered Nurse Anesthetist	APRN11044648	FL

General Provider Information

NPI Number	:	1306702063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI RENEE GARNER DNP, CRNA

Provider Business Mailing Address
First Line	:	1525 W. CYPRESS CREEK ROAD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 JOE DIMAGGIO DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5487
Country	:	US
Telephone Number	:	954-939-5000
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	01/20/2026

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