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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY JO BLEAKLEY, PA-C

Active

KELLY JO BLEAKLEY, PA-C is a Physician Assistant healthcare provider located in VERO BEACH, Florida. NPI 1124676580 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · VERO BEACH, FL

Registration Details

NPI Number
1124676580
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2019 (6.9544180542696 yrs)
Last Updated
Jun 8, 2025
Licenses
9269 (GA)
025755 (NY)
PA9117749 (FL)

Practice Information

Address
3450 11TH CT STE 105
VERO BEACH, FL, 329605012
Browse FL providers · Browse ZIP 32960
Phone
7727783680
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in VERO BEACH, FL

Name Credential NPI
CAROL A KOIRO PA 1780679399
LARRY JAMES PA-C 1073599841
KIMBERLI S JOHNSTON PA-C 1932173895
MARGARET G LEDDY PA C 1629043724
LISA ANN MILLER PA 1407824675
MR. CLEVELAND ABBE RICKARDS P.A. 1831118595
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.