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

Peter Edward Hakos, PA-C

Individual provider Physician Assistant · NPI 1942611991

Peter Edward Hakos, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Shands Jacksonville Medical Center Inc, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256-5836 — (904) 427-1050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120145 (FL)

Record details

NPI number1942611991
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Shands Jacksonville Medical Center Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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