Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE IANNAZZO, PA-C
ActivePhysician Assistant · CELEBRATION, FL
Registration Details
- NPI Number
- 1679710149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2009 (17.269318346042 yrs)
- Last Updated
- Jan 5, 2016
- Licenses
-
MA053583 (PA)1886 (SC)PA 9108977 (FL)
Practice Information
- Address
-
400 CELEBRATION PLSUITE A280CELEBRATION, FL, 347474970Browse FL providers · Browse ZIP 34747
- Phone
- 4075664411
- Fax
- 4075664416
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CELEBRATION, FL
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN M ELLIOTT | PAC | 1326106170 |
| JASON DESCALSO | PA | 1215090279 |
| JILL M. SAGER | PA-C | 1760677363 |
| MICHAEL EARL TAYLOR | PA | 1437450343 |
| EILEEN SWENSON | PA-C | 1528341344 |
| COURTNEY COLLARD BEVILLE | PA-C | 1811246184 |
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.