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

Mr. Paul Victor Campbell III III, AGNP

Individual provider Nurse Practitioner · NPI 1770263261

Mr. Paul Victor Campbell III III, AGNP is a Nurse Practitioner in Palm Coast, Florida. Qualified in 2021, 5 years ago. Practices with Heart of Florida Health Center, Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2023
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

800 Belle Terre Pkwy # 200-183
Palm Coast, FL 32164-2314
Phone: (386) 864-9725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11027628 (FL)

Record details

NPI number1770263261
Entity typeIndividual (Type 1)
GenderMale
Credentials AGNP
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Heart Of Florida Health Center, Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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