MEDICARE: DR. KELLEY EPSTEIN 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	163WC0200X	Critical Care Medicine Registered Nurse	9482919	FL
2	367500000X	Certified Registered Nurse Anesthetist	APRN11013520	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457972135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLEY EPSTEIN DNP, CRNA

Provider Business Mailing Address
First Line	:	11610 SW 13TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4839
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 N FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-1427
Country	:	US
Telephone Number	:	954-776-8500
Fax Number	:

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

Provider Enumeration Date	:	05/04/2020
Last Update Date	:	01/26/2026

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