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

Ryan A Demello

Individual provider Physician Assistant · NPI 1780410043

Ryan A Demello is a Physician Assistant in The Villages, Florida. Qualified in 2024, 2 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

2955 Brownwood Blvd Ste 204
The Villages, FL 32163-2040
Phone: (866) 400-3376
Fax: (352) 877-3354
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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 PA9119356 (FL)

Record details

NPI number1780410043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in The Villages