Individual provider Active NPI

Frank Damian Navarra, MPAS, PA-C

  • Physician Assistant
  • Valrico, FL
National Provider Identifier
1649985789
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118629 Issued in FL
Practice address
2438 Bloomingdale Ave
Valrico, FL 33596-6403
Phone
(813) 440-5544
Fax
(813) 440-5545
NPI assigned
Jan 23, 2023
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118629 FL Primary
Physician Assistant 363A00000X 030097 NY

Addresses

Primary practice location

2438 Bloomingdale Ave
Valrico, FL 33596-6403

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

15 Pebble Beach Rd
Medford, NY 11763-2403
Phone (631) 878-0111

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
I20240404002855 FL Practitioner - Physician Assistant 1456799899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

2438 Bloomingdale Ave
Valrico, FL 33596-6403
Phone (813) 440-5544

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030097NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Alliance in Dermatology, PLLC CurrentSince May 12, 2024 Accepting new patients

Locations

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

2438 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 440-5544

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: fnavarra@aadermaffiliates.emadirect.md

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, 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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1649985789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966403",
            "telephone_number": "813-440-5544",
            "fax_number": "813-440-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Pebble Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NY",
            "postal_code": "117632403",
            "country_code": "US",
            "telephone_number": "631-878-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVARRA",
        "first_name": "FRANK",
        "middle_name": "DAMIAN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118629",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.