Active NPI
Amy M Iannello, PAC
- Physician Assistant
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101787 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| Florida Em-I Medical Services, PA | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services, LLC | Physician Assistant | Current | 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
- 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.
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Nurse Practitioner
- Ft Lauderdale, FL
- NPI 1316764988
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1871155887
Physician Assistant
-
- Nurse Practitioner
- Coral Springs, FL
- NPI 1336966910
Physician Assistant
-
- Plastic Surgery Physician
- Williamsville, NY
- NPI 1568468551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.