Individual provider Active NPI

Nadabe Royal

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1184496655
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11029040 Issued in FL
Practice address
4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone
(813) 975-2800
Fax
(813) 977-7924
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X APRN11029040 FL Primary

Addresses

Primary practice location

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907

Mailing address

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone (813) 975-2800

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
I20240425003438 FL Practitioner - Nurse Practitioner 1850731704 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029040FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vasco M Marques MD PA Multi-Specialty CurrentSince Apr 22, 2024 Accepting new patients
Pulmonary Physicians of South Florida LLC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

3010 E 138th Ave
Ste 12
Tampa, FL 33613
Phone (813) 975-2800

4450 E Fletcher Ave
Ste C
Tampa, FL 33613
Phone (813) 524-5106

2136 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 975-2800

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1184496655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "NADABE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11029040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.