Individual provider Active NPI

Daniel A Cammardella, PA-C

  • Medical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1376106005
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9114693 Issued in FL
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

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
129118800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201003090 FL Practitioner - Physician Assistant 8022408202 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
9114693FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jun 25, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jun 25, 2025 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

  • Direct secure messaging: dcammardella354148@direct.tgh.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.