Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nino Anthony Fajardo, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1174265268

Mr. Nino Anthony Fajardo, AGACNP-BC is a Nurse Practitioner in Land O Lakes, Florida. Qualified in 2021, 5 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022

Practice location Address checks out

24323 Painter Dr
Land O Lakes, FL 34639-5459
Phone: (863) 409-8812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11014439 (FL)

Record details

NPI number1174265268
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedApril 10, 2022
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Land O Lakes