Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Campbellton-Graceville Hospital

Organization Family Medicine Physician · NPI 1154373744

Campbellton-Graceville Hospital is a Family Medicine Physician in Graceville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

5429 College Dr Ste B
Graceville, FL 32440-1859
Phone: (850) 263-4431
Fax: (850) 263-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4172 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4172 (FL)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 4172 (FL)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 4172 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 4172 (FL)

Record details

NPI number1154373744
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCampbellton-Graceville Hospital
Authorized official Judy Austin — Assistant Administrator · (850) 263-4431
NPI enumeratedMay 16, 2006
Last updated in NPPESAugust 9, 2010
Mailing address5429 College Dr, Graceville, FL 32440-1857

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