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KELLY MARIE IANNAZZO PA-C
NPI 1679710149
Physician Assistant in Celebration, FL

Active since January 20, 2009
400 CELEBRATION PL, SUITE A280, CELEBRATION, FL 34747(407) 566-4411(407) 566-4416 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Marie Iannazzo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE IANNAZZO PA-C (NPI 1679710149) is an individual physician assistant in Celebration, Florida, licensed in Florida (PA 9108977) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1679710149
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE IANNAZZOCredential: PA-C
Location Address400 CELEBRATION PL, SUITE A280Celebration, FL 34747-4970
Mailing Address400 Celebration Pl, Suite A280Celebration, FL 34747-4970 · (407) 566-4411 · Fax (407) 566-4416
Phone(407) 566-4411
Fax(407) 566-4416
Sole ProprietorNo
Enumeration DateJanuary 20, 2009
Last NPPES UpdateJanuary 5, 2016
✔ NPI 1679710149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA 9108977✔ Licensed in PA · MA053583✔ Licensed in SC · 1886
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 CELEBRATION PL, Celebration, FL 34747
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER O'DONNELL PHARMD
Pharmacist
400 CELEBRATION PL, MAIN LOBBY PHARMACARE CENTER
CELEBRATION, FL 34747
Osceola County (407) 303-4005
DAVID BURNS PA-C
Physician Assistant (Medical)
400 CELEBRATION PL, SUITE A350
CELEBRATION, FL 34747
Osceola County (407) 303-4902
PLATINUM DENTAL GROUP PA
Dentist
400 CELEBRATION PL, A-260
CELEBRATION, FL 34747
Osceola County (407) 566-2222
GILBERT ANTHONY GUTIERREZ JR.
Physical Therapy Assistant
400 CELEBRATION PL
CELEBRATION, FL 34747
Osceola County (407) 303-4003
DR. SANDRINE THIEN KIM HUYNH PHARM.D.,BCPS
Pharmacist
400 CELEBRATION PL
CELEBRATION, FL 34747
Osceola County (407) 303-4090
DR. ALYSSA PTACEK DNP, AGACNP-BC
Nurse Practitioner (Gerontology)
400 CELEBRATION PL
CELEBRATION, FL 34747
Osceola County (407) 303-4000
DR. GARY M ONIK M.D.
Radiology (Vascular & Interventional Radiology)
400 CELEBRATION PL, SUITE A280
CELEBRATION, FL 34747
Osceola County (407) 303-4228
SARAH AVANS PHARMD
Pharmacist
400 CELEBRATION PL
KISSIMMEE, FL 34747
Osceola County (407) 303-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Iannazzo's NPI number?

The NPI number for Kelly Iannazzo is 1679710149. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Kelly Iannazzo located?

Kelly Iannazzo practices at 400 Celebration Pl Suite A280, Celebration, FL 34747. The listed phone number is (407) 566-4411.

What is Kelly Iannazzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Iannazzo was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.