KATHLEEN VAZZANA DO NPI 1083097521

NPI Information

  • NPI: 1083097521
  • Provider Name: KATHLEEN VAZZANA, DO
  • Classification: Pediatrics - 2080P0216X
  • Specialization: Pediatric Rheumatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1802 KUHL AVE STE 101
    ORLANDO, FL
    ZIP 32806
  • Phone: (321) 843-9400

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NPI Details

Kathleen Vazzana, DO is a pediatric rheumatology pediatrics in Orlando, FL. The provider is a pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Kathleen Vazzana, DO NPI is 1083097521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1802 KUHL AVE STE 101
ORLANDO, FL
ZIP 32806-004
Phone: (321) 843-9400
Fax: (321) 841-5781

The NPI 1083097521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2015 and was last updated on 7/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramUO 4550FLORIDANo
22080P0216XPediatricsPediatric RheumatologyOS17693FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110330100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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