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1770039687
HAMPTON PEDIATRICS PA
JACKSONVILLE, FL
NPI
1770039687
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Entity Type
Organization
Authorized Contact
LATHA SHIVASHANKAR
President
904-998-1448
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME53102)
Enumeration Date
2016-08-30
Last Update Date
2016-08-30
Business Address
HAMPTON PEDIATRICS PA
11512 LAKE MEAD AVE UNIT 201
JACKSONVILLE, FL 32256-9688
Phone number: 904-998-1448
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Mailing Address
HAMPTON PEDIATRICS PA
11512 LAKE MEAD AVE UNIT 201
JACKSONVILLE, FL 32256-9688
Phone number: 904-998-1448
Copy
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