Provider Demographics
NPI:1609894047
Name:CAMPBELL-O'DELL, DAVID G (DNP, ARNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:CAMPBELL-O'DELL
Suffix:
Gender:M
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 4TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3763
Mailing Address - Country:US
Mailing Address - Phone:305-394-4785
Mailing Address - Fax:888-316-6115
Practice Address - Street 1:1200 4TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3763
Practice Address - Country:US
Practice Address - Phone:305-394-4785
Practice Address - Fax:888-316-6115
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0940332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily