Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hampton Pediatrics PA

Organization Pediatrics Physician · NPI 1770039687

Hampton Pediatrics PA is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11512 Lake Mead Ave Unit 201
Jacksonville, FL 32256-9688
Phone: (904) 998-1448
Fax: (904) 998-1450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME53102 (FL)

Record details

NPI number1770039687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latha Shivashankar — President · (904) 998-1448
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016
Mailing address11512 Lake Mead Ave Unit 201, Jacksonville, FL 32256-9688

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