Dr. Gampolo, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH11616 Issued in FL

Legal business name

DR. GAMPOLO, LLC

Practice address

1320 S Orlando Ave Ste 3
Winter Park, FL 32789-5556

Phone

(407) 504-0177

Fax

(407) 530-0779

NPI assigned

Mar 2, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Anthony Gampolo II, DCNPI 1568847572

Title

Owner/MGR

Phone

(407) 504-0117

Specialties & licenses 1

Addresses

Other names 1

• Orlando City Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Gampolo II, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1568847572
  Medicare reassignment Care Compare group NPD Authorized official
• Brooks Andrew Saunders, D.C.

  • Chiropractor
  • Ocoee, FL
  • NPI 1033577747
  Medicare reassignment Care Compare group NPD
• Nicole Teribery, PT, DPT

  • Physical Therapist
  • Winter Park, FL
  • NPI 1144832650
  Medicare reassignment Care Compare group NPD
• Dillon E Cruz-del Valle, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1336995216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1962904201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S ORLANDO AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895556",
            "telephone_number": "407-504-0177",
            "fax_number": "407-530-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S ORLANDO AVE STE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895556",
            "telephone_number": "407-504-0177",
            "fax_number": "407-530-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GAMPOLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "GAMPOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "407-504-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH11616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando City Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Todd Newberg PLLC
• Dr. Alan S. Kossow, PA
• Dr. Amy L. Hoffman, Psy. D.
• Dr. Carol L. Bloomquist Mikulka MD PA
• Dr. Drew Byrnes Family and Cosmetic Dentisty
• Dr. Kristie Nguyen PLLC
• Dr. V. Ramcharan P.a.
• Jill Rand Drake, L.C.S.W.
• Shelby Draulis, ARNP
• Rochelle Alyssa Drayton, PA-C

• Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.