Individual provider Active NPI

Luisito Ago, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1184356537
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006642 Issued in FL
Practice address
5100 Seminole Blvd
St Petersburg, FL 33708-3354
Phone
(727) 319-4535
NPI assigned
Jun 25, 2022
Last updated
Jun 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006642 FL Primary

Addresses

Primary practice location

5100 Seminole Blvd
St Petersburg, FL 33708-3354

Mailing address

5100 Seminole Blvd
St Petersburg, FL 33708-3354
Phone (727) 319-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001878 FL Practitioner - Nurse Practitioner 3173064821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006642FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ranjan Mahajan, MD PLC Family CurrentSince Jul 1, 2024 Accepting new patients
Eduardo Palanca MD PA CurrentSince Sep 21, 2025 Accepting new patients
Daisy Haven LLC Current Accepting new patients
Allergy & Rheumatology Associates LLC CurrentSince Jul 3, 2022 Accepting new patients
Ranjan Mahajan MD Current Accepting new patients
Michelle Spuza Milord MD PA PastSince Jul 3, 2022 Accepting new patients

Locations

150 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-0822

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 518-0822

1840 Mease Dr
Ste 315
Safety Harbor, FL 34695
Phone (727) 781-7711

2901 Rigsby Ln
Safety Harbor, FL 34695
Phone (727) 218-8870

5100 Seminole Blvd
St Petersburg, FL 33708
Phone (727) 319-4535

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBJBA/Endpoint/FBBJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDBABD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1184356537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SEMINOLE BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083354",
            "telephone_number": "727-319-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SEMINOLE BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083354",
            "telephone_number": "727-319-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGO",
        "first_name": "LUISITO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.