Active NPI
Daniel A Cammardella, PA-C
- Medical Physician Assistant
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9114693
- Practice address
- 2191 9TH Ave N Ste 220
St Petersburg, FL 33713-7148 - Phone
- (727) 327-9667
- Fax
- (727) 321-1655
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9114693 | FL | |
| Medical Physician Assistant | 363AM0700X | 9114693 | FL | Primary |
Addresses
Primary practice location
2191 9TH Ave N Ste 220
St Petersburg, FL 33713-7148
Mailing address
6775 Crosswinds Dr N
Saint Petersburg, FL 33710-5471
Phone (727) 381-8006
Other practice location 1
6775 Crosswinds Dr N
Saint Petersburg, FL 33710-5471
Phone (727) 381-8006
Other practice location 2
2726 2nd Ave S
Saint Petersburg, FL 33712-1120
Phone (727) 550-7839
Other practice location 3
3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129118800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ECW | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Florida College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13531 State Rd
Suite 54
Odessa, FL 33556-3527
Phone (813) 925-1903
16521 S US Hwy 301
TGH Urgent Care Powered by Fast Tra
Wimauma, FL 33598-2032
Phone (813) 928-1903
303 W Palm Ave
TGH Urgent Care Powered by Fast Tra
Tampa, FL 33602-2027
Phone (813) 925-1903
3251 66TH St N
TRH Urgent Care Powered by Fast Track
St Petersburg, FL 33710-1510
Phone (813) 925-1903
3301 W Gandy Blvd
Tampa, FL 33611-2931
4949 4TH St N
TGH Urgent Care Powered by Fast Track
St Petersburg, FL 33703-3800
Phone (813) 925-1903
7601 Seminole Blvd
TGH Urgent Care Powered by Fast Tra
Seminole, FL 33772-4868
Phone (813) 925-1903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9114693 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients |
Locations
3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- dcammardella354148@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1063718013
-
- Family Medicine Physician
- St Petersburg, FL
- NPI 1376753350
-
- General Practice Physician
- Tampa, FL
- NPI 1093233967
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1376106005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6775 CROSSWINDS DR N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337105471",
"telephone_number": "727-381-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 9TH AVE N STE 220",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137148",
"telephone_number": "727-327-9667",
"fax_number": "727-321-1655"
}
],
"practiceLocations": [
{
"address_1": "6775 Crosswinds Dr N",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337105471",
"country_code": "US",
"telephone_number": "727-381-8006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2726 2nd Ave S",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337121120",
"country_code": "US",
"telephone_number": "727-550-7839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 W Gandy Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336112931",
"country_code": "US",
"telephone_number": "813-925-1903",
"fax_number": "813-749-8370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMMARDELLA",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "9114693",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "9114693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129118800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ECW",
"affiliation": "N",
"endpointDescription": "ECW",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2191 9th Ave N Ste 220",
"city": "St Petersburg",
"state": "FL",
"country_code": "US",
"postal_code": "337137148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.