Individual
PAUL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
2424 NW 69TH TER, GAINESVILLE, FL 32606-6392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME169155
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122910700
—
FL
Enumeration date
04/02/2020
Last updated
07/16/2024
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