=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477557916
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAVID J CAMPOPIANO ANP- BC, PMHNP-BC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2005
-----------------------------------------------------
Last Update Date | 08/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10347 CROSS CREEK BLVD STE D
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33647-2993
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-501-2158
-----------------------------------------------------
Fax | 401-701-2444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9307 CYPRESS BEND DR
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33647-2553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-919-5508
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | ARNP9329419
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | ARNP9329419
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------