IndividualActive
Alexander Ciccone
NPI 1477033504 · Community Health Worker · Brandon, FL
Provider details
- NPI number
- 1477033504
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
105 S Moon Ave
Brandon, FL 33511-5109
Phone: (813) 689-7800
Approximate (ZIP-level) locationGet directions
Mailing address
105 S Moon Ave
Brandon, FL 33511-5109
Registry dates
- Enumerated
- 2018-08-17
- Last updated
- 2018-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.