MEDICARE: KELLI CRISTINA DUTRA SILVA RANAURO NP

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	363L00000X	Nurse Practitioner	11044019	FL

General Provider Information

NPI Number	:	1518821180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI CRISTINA DUTRA SILVA RANAURO NP

Provider Business Mailing Address
First Line	:	1127 CASCADE DR
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-1603
Country	:	US
Telephone Number	:	689-766-2087
Fax Number	:

Provider Business Practice Location Address
First Line	:	5979 VINELAND RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7800
Country	:	US
Telephone Number	:	407-968-2056
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/10/2025

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