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

Campbellton-Graceville Hospital

Organization Family Medicine Physician · NPI 1942348040

Campbellton-Graceville Hospital is a Family Medicine Physician in Graceville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

5429 College Dr
Graceville, FL 32440-1857
Phone: (850) 263-4431
Fax: (850) 263-3312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME90551 (FL)

Record details

NPI number1942348040
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCampbellton-Graceville Hospital
Authorized official Dena Cooper — Controller · (850) 263-4431
Other names Graceville Medical Clinic
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 14, 2008
Mailing address5470 College Dr, Graceville, FL 32440-1304

Other providers in Graceville