| Doctor Name: | MS. ANNTOINETTE CAMPBELL |
| NPI Number: | 1144459421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7555 Beach Blvd Ste 200 Jacksonville, FL - 322163003 |
| Business Phone Number: | 9049967587 |
| Business Fax Number: | 9049967591 |
| Mailing Address: | Po Box 54521, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322454521 |
| Phone Number: | 9049967587 |
| Fax Number: | 9049967591 |
| NPI Enumeration Date: | 07/08/2009 |
| NPI Last Update Date: | 07/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |