Individual provider · Type 1 NPI

Grace Catherine Illies, PA-C

Physician Assistant · Orlando, FL

NPI number 1841109865 Active

Practice location

6535 Nemours Pkwy
Orlando, FL 32827-7884

Call (407) 650-7000 Map

Fax (407) 567-5924

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532

Other practice locations

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (407) 650-7715

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9122649 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1841109865

Grace Catherine Illies, PA-C's National Provider Identifier is 1841109865, issued on Sep 4, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Orlando, FL. The record was last updated on Oct 28, 2026.