SearchFlorida208000000X

Latha Shivashankar, MD

NPI 1801845607 · on the registry since 2006 · sole proprietor

Practice

Address
11512 Lake Mead Ave
Suite 201
Jacksonville, FL 32256
Phone
(904) 998-1448
Fax
(904) 998-1450
Organisation at this address
Live Well M.D.
Jax Healthcare Llc
Hampton Pediatrics Pa
Seven Oaks Therapy Llc
Little Star Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida