Healthcare Provider Details

I. General information

NPI: 1437655917
Provider Name (Legal Business Name): ELIZABETH JANE CAMPBELL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH JANE HINKLE DO

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 US HIGHWAY 98 W
MIRAMAR BEACH FL
32550-7228
US

IV. Provider business mailing address

7800 US HIGHWAY 98 W
MIRAMAR BEACH FL
32550-7228
US

V. Phone/Fax

Practice location:
  • Phone: 931-209-1309
  • Fax:
Mailing address:
  • Phone: 931-209-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23237
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2208
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: