Kely Duran de Momblack

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5337 Brin Way
Ave Maria, FL 34142-5048

Phone

(239) 595-7856

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1851204085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 BRIN WAY",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425048",
            "telephone_number": "239-595-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 BRIN WAY",
            "city": "AVE MARIA",
            "state": "FL",
            "postal_code": "341425048",
            "telephone_number": "239-595-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN DE MOMBLACK",
        "first_name": "KELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Costanzo, RMHCI
• Reagan Curry
• Luisa Ines Del Toro, O.D.
• Patrick Dobbins, D.C.
• Rosemarie F Dobrydney, ARNP
• Katiana Duran Oliveros, APRN
• Elite Caregivers USA LLC
• Elizabeth Galanti, Licensed Mental Health Counselor, PLLC
• Raul G Enad, M.D.
• Enriched Education LLC

• Student in an Organized Health Care Education/Training Program in Ave Maria, FL
• Providers in Ave Maria, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.