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

Rylan Ciccarello, MD

Individual provider Psychiatry Physician · NPI 1972130144

Rylan Ciccarello, MD is a Psychiatry in Longwood, Florida. Qualified in 2019, 7 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 W Warren Ave
Longwood, FL 32750-4038
Phone: (407) 262-2220
Fax: (407) 834-5011
Show map & directions

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

Additional practice locations (1)

  • 1147 Nw 64th Ter, Gainesville, FL 32605-4218 — (352) 333-5982

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME169521 (FL)
Psychiatry Physician Taxonomy 2084P0800X · Licence TRN30221 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972130144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address455 W Warren Ave, Longwood, FL 32750-4038

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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