Individual
KAREN LYNN IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(407) 303-2001
(407) 303-2450
Mailing address
2501 N ORANGE AVE STE 310, ORLANDO, FL 32804-4642
(407) 303-2001
(407) 303-2450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9234709
FL
363LP0200X
Pediatric Nurse Practitioner
ARNP9234709
FL
363LP0200X
Pediatric Nurse Practitioner
F381037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307170700
—
FL
01
—
ARNP9234709
MEDICAL LICENSE
FL
Enumeration date
11/14/2005
Last updated
06/28/2019
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