Kelly Ann Antoniak, FNP-BC
Kelly Ann Antoniak, FNP-BC is a Nurse Practitioner in Tampa, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.
- Years since qualifying
- 1
- Licensed in
- FL
- In the registry since
- 2026
What do these letters mean?
- FNP-BC — Family Nurse Practitioner, Board Certified
- A family nurse practitioner certified by the ANCC.
Practice location Address checks out
2815 W Virginia AveTampa, FL 33607-6357
Phone: (813) 544-3208
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11045692 (FL) |
|---|
Record details
| NPI number | 1699621029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-BC |
| Sole proprietor | No |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | April 28, 2026 |
| Certification date | April 28, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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