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HAMPTON PEDIATRICS PA NPI 1770039687


NPI Information

NPI: 1770039687
Provider Name: HAMPTON PEDIATRICS PA
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
11512 LAKE MEAD AVE UNIT 201
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 998-1448
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HAMPTON PEDIATRICS PA is a pediatrics in Jacksonville, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HAMPTON PEDIATRICS PA NPI is 1770039687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE UNIT 201
JACKSONVILLE, FL
ZIP 32256-688
Phone: (904) 998-1448
Fax: (904) 998-1450

The provider's authorized official is Latha Shivashankar .
The authorized official title is President and has the following contact phone number (904) 998-1448.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME53102FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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