Provider Demographics
NPI:1245709740
Name:LAMANNA, KATACEYA ANGELA (APRN)
Entity type:Individual
Prefix:MRS
First Name:KATACEYA
Middle Name:ANGELA
Last Name:LAMANNA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATACEYA
Other - Middle Name:ANGELA
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 TAVISTOCK LAKES BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7592
Mailing Address - Country:US
Mailing Address - Phone:863-646-4000
Mailing Address - Fax:407-285-4515
Practice Address - Street 1:550 POPE AVE NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4679
Practice Address - Country:US
Practice Address - Phone:863-299-2630
Practice Address - Fax:407-285-4515
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9378631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily