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

Nikol Vanessa Passaglia

Individual provider Physician Assistant · NPI 1710578042

Nikol Vanessa Passaglia is a Physician Assistant in Lutz, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

19203 N Dale Mabry Hwy
Lutz, FL 33548-5067
Phone: (813) 397-5300
Fax: (813) 726-0368
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAT9117469 (FL)

Record details

NPI number1710578042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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