MEDICARE: LANDRY JEAN KONZ PA-C

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
1	363A00000X	Physician Assistant	9120584	FL

General Provider Information

NPI Number	:	1902770449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANDRY JEAN KONZ PA-C

Provider Business Mailing Address
First Line	:	2100 OCOEE APOPKA RD STE 120
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-9210
Country	:	US
Telephone Number	:	407-889-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 OCOEE APOPKA RD STE 120
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-9210
Country	:	US
Telephone Number	:	407-889-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	02/23/2026

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