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

Latha Shivashankar, MD

Individual provider Pediatrics Physician · NPI 1801845607

Latha Shivashankar, MD is a Pediatrics Physician in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11512 Lake Mead Ave Ste 201
Jacksonville, FL 32256-9680
Phone: (904) 998-1448
Fax: (904) 998-1450
Show map & directions

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 number1801845607
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 9, 2006
Last updated in NPPESNovember 29, 2012
Mailing address11512 Lake Mead Ave, Suite 201, Jacksonville, FL 32256

Other providers in Jacksonville