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AUGUSTO FAJARDO APRN
NPI 1093573693
Nurse Practitioner - Family in Davenport, FL

Active since March 08, 2024
40107 HIGHWAY 27, DAVENPORT, FL 33837(863) 420-8384(352) 243-6614 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2026, Mar 8, 2024 (2 updates tracked since 2024).

About Augusto Fajardo Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGUSTO FAJARDO APRN (NPI 1093573693) is an individual family provider in Davenport, Florida, licensed in Florida (11031703) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1093573693
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameAUGUSTO FAJARDOCredential: APRN
Location Address40107 HIGHWAY 27Davenport, FL 33837-5901
Mailing Address40107 Highway 27Davenport, FL 33837-5901 · (863) 420-8384 · Fax (352) 243-6614
Phone(863) 420-8384
Fax(352) 243-6614
Sole ProprietorNo
Enumeration DateMarch 8, 2024
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1093573693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11031703
40107 HIGHWAY 27, Davenport, FL 33837
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Radiology (Diagnostic Radiology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 687-1100
CENTRAL FLORIDA CANCER INSTITUTE PA
Clinic/Center (Multi-Specialty)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 419-0692
RADIOLOGY & IMAGING SPECIALISTS
Radiology (Diagnostic Radiology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 687-1100
FLORIDA VEIN CARE SPECIALISTS LLC
Surgery (Vascular Surgery)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 701-4808
MICHAEL DAVID SMITH M.D.
Radiology (Radiation Oncology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 419-0692
CLETUS ROY GEORGES MD
Urology
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (407) 599-9899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augusto Fajardo's NPI number?

The NPI number for Augusto Fajardo is 1093573693. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Augusto Fajardo located?

Augusto Fajardo practices at 40107 Highway 27, Davenport, FL 33837. The listed phone number is (863) 420-8384.

What is Augusto Fajardo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Augusto Fajardo was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.