Active NPI
Roxana Camacho Nardo, PA
- Primary Care Clinic/Center
- Tampa, FL
National Provider Identifier
1306731005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 002605-P.A
- Practice address
- 8647 Fancy Finch Dr Unit 203
Tampa, FL 33614-2382 - Phone
- (432) 257-5435
- NPI assigned
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 002605-P.A | PR | Primary |
Addresses
Primary practice location
8647 Fancy Finch Dr Unit 203
Tampa, FL 33614-2382
Mailing address
8647 Fancy Finch Dr Unit 203
Tampa, FL 33614-2382
Phone (432) 257-5435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002605-P.A | PR | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1306731005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8647 FANCY FINCH DR UNIT 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142382",
"telephone_number": "432-257-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8647 FANCY FINCH DR UNIT 203",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142382",
"telephone_number": "432-257-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO NARDO",
"first_name": "ROXANA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "PR",
"license": "002605-P.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.