Healthcare Provider Details

I. General information

NPI: 1457281768
Provider Name (Legal Business Name): CAMPBELL MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MEDICAL CENTER AVE
SEBRING FL
33870-5423
US

IV. Provider business mailing address

111 MEDICAL CENTER AVE
SEBRING FL
33870-5423
US

V. Phone/Fax

Practice location:
  • Phone: 954-558-2446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH CAMPBELL
Title or Position: APRN-BC
Credential:
Phone: 954-558-2446