Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Mudon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699207076

Kelly Mudon is a Family Practice in Miami, Florida. Qualified in 2017, 9 years ago. Practices with Community Health of South Florida Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10300 SW 216th St
Miami, FL 33190-3319
Phone: (786) 293-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1662 L1/2 Rd., Fruita, CO 81521 — (970) 270-1292

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS16971 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699207076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Health Of South Florida Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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