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

Gina Dellacgua Mangin, PAC

Individual provider Physician Assistant · NPI 1861450553

Gina Dellacgua Mangin, PAC is a Physician Assistant in Orlando, Florida. Qualified in 2007, 19 years ago. Practices with Sand Lake Dermatology Center PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

7335 W Sand Lake Rd Ste 200
Orlando, FL 32819-5538
Phone: (407) 352-8553
Fax: (407) 351-8412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9104450 (FL)

Record details

NPI number1861450553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESJanuary 23, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sand Lake Dermatology Center Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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