Individual provider Active NPI

Camille Christelle Imbo Nloga

  • Obstetrics & Gynecology Physician
  • St Petersburg, FL
National Provider Identifier
1831693225
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68731 Issued in AZ
Practice address
2299 9TH Ave N Ste 1C
St Petersburg, FL 33713-6851
Phone
(727) 334-8889
Fax
(727) 766-0577
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 68731 AZ Primary

Addresses

Primary practice location

2299 9TH Ave N Ste 1C
St Petersburg, FL 33713-6851

Mailing address

2299 9TH Ave N Ste 1C
St Petersburg, FL 33713-6851
Phone (727) 334-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220524003240 FL Practitioner - Obstetrics/Gynecology 3779960141 Reassigns benefits to 2 organizations
I20230814000226 AZ Practitioner - Obstetrics/Gynecology 3779960141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1900 S Tuttle Ave
Sarasota, FL 34239-3114
Phone (941) 330-8885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68731AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 12, 2025 Accepting new patients
Phoenix Children'S Hospital CurrentSince Jun 1, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 12, 2025 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Feb 17, 2026 Accepting new patients
Womencare PA Past Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

4764 E State Road 64
Bradenton, FL 34208
Phone (941) 343-0609

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1900 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 330-8885

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1831693225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N STE 1C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136851",
            "telephone_number": "727-334-8889",
            "fax_number": "727-766-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 9TH AVE N STE 1C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136851",
            "telephone_number": "727-334-8889",
            "fax_number": "727-766-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBO NLOGA",
        "first_name": "CAMILLE",
        "middle_name": "CHRISTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "68731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.