=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023697943
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID A LEPIN CRNA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2021
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3000 WIREGRASS RANCH BLVD
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33543-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-712-8131
-----------------------------------------------------
Fax | 321-843-2196
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3000 WIREGRASS RANCH BLVD
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33543-4274
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-712-8131
-----------------------------------------------------
Fax | 321-843-2196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | APRN11026296
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 9451391
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------