Individual
AUSTIN BRUNSON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 REDSTONE AVE W FL 32536, CRESTVIEW, FL 32536-6428
(850) 746-2520
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116554
FL
Other
Enumeration date
08/13/2021
Last updated
07/21/2023
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