Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica M Mazzola, PA

Individual provider Physician Assistant · NPI 1154833978

Angelica M Mazzola, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2017, 9 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
9
Licensed in
FL, NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6201 Alliance Ln Ste 100
Fort Myers, FL 33912-7164
Phone: (239) 343-1176
Fax: (239) 343-4238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 — (239) 344-9786

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9114885 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 021573 (NY)

Record details

NPI number1154833978
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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