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

Olivia Ciccarello, PA-C

Individual provider Physician Assistant · NPI 1144867946

Olivia Ciccarello, PA-C is a Physician Assistant in Pembroke Pines, Florida. Works from 2 locations. Licensed in Alabama, Florida, Indiana and Tennessee and 1 more.

Licensed in
AL, FL, IN, TN, VA
In the registry since
2019
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone: (866) 849-0692
Fax: (888) 973-8821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7486 Right Flank Rd Ste 100, Mechanicsville, VA 23116-3834 — (804) 320-4243

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010005 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 10005195A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 2772 (AL)
Physician Assistant Taxonomy 363A00000X · Licence 4628 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA9120147 (FL)

Record details

NPI number1144867946
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2019
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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