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

Mandy M Ciccarello, PA

Individual provider Medical Physician Assistant · NPI 1841368479

Mandy M Ciccarello, PA is a Medical Physician Assistant in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

24420 State Road 54
Lutz, FL 33559-7303
Phone: (813) 909-1700
Fax: (813) 909-2143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103828 (FL)

Record details

NPI number1841368479
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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