Individual provider Active NPI

Amy M Iannello, PAC

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1700841822
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101787 Issued in FL
Practice address
1600 S Andrews Ave
Atrium BLDG 1St Floor
Fort Lauderdale, FL 33316
Phone
(954) 760-7171
Fax
(954) 764-1722
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101787 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Atrium BLDG 1St Floor
Fort Lauderdale, FL 33316

Mailing address

PO Box 862851
Orlando, FL 32886-2851
Phone (954) 847-4273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040918000043 FL Practitioner - Physician Assistant 7214905280 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101787FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services LLC Physician Assistant CurrentSince Aug 15, 2014 Accepting new patients
Florida Em-I Medical Services, PA Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Aug 15, 2014 Accepting new patients
Advanced Cardiac Surgical Associates, PLLC Past Accepting new patients
Phoenix Emergency Medicine of Broward LLC Past Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700841822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 862851",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328862851",
            "telephone_number": "954-847-4273",
            "fax_number": "954-847-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "ATRIUM BLDG 1ST FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-760-7171",
            "fax_number": "954-764-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNELLO",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.