Doctor profile · Federal record
Dr. Mandy Ciccarello, PA
Medical Physician Assistant · Lutz, FL
- NPI 1841368479
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
24420 State Road 54
Lutz, FL 335597303
(813) 909-1700
fax (813) 909-2143
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- October 16, 2024
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Florida #PA9103828
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841368479. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 1 | $21.70 |
By nature of payment
Frequently asked questions
What is Dr. Mandy Ciccarello's medical specialty?
Dr. Mandy Ciccarello practices Medical Physician Assistant in Lutz, FL.
Where does Dr. Mandy Ciccarello practice?
Dr. Mandy Ciccarello practices at 24420 State Road 54, Lutz, FL 335597303. Office phone: 8139091700.
What is Dr. Mandy Ciccarello's NPI?
Dr. Mandy Ciccarello's National Provider Identifier (NPI) is 1841368479, issued by NPPES.