Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marie Iannazzo, PA-C

Individual provider Physician Assistant · NPI 1679710149

Kelly Marie Iannazzo, PA-C is a Physician Assistant in Celebration, Florida. Licensed in Florida, Pennsylvania and South Carolina. Registered with an NPI since 2009.

Licensed in
FL, PA, SC
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

400 Celebration Pl Ste A280
Celebration, FL 34747-4970
Phone: (407) 566-4411
Fax: (407) 566-4416
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9108977 (FL)
Physician Assistant Taxonomy 363A00000X · Licence MA053583 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 1886 (SC)

Record details

NPI number1679710149
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2009
Last updated in NPPESJanuary 5, 2016

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