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NPI Code Detail

MEDICARE: KAREN LYNN IACONO APRN

MEDICARE: KAREN LYNN IACONO APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerF381037NY
2363LP0200XPediatric Nurse PractitionerARNP9234709FL
3363LP0200XPediatric Nurse PractitionerAPRN9234709FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ARNP9234709OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1710968003
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LYNN IACONO APRN
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 310
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4642
Country : US
Telephone Number : 407-303-2001
Fax Number : 407-303-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 06/28/2019

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