| Shawnna M Hampton Do Pllc | |
|
2900 N Military Trl #205 Boca Raton FL 33431-6365 | |
| (561) 289-9467 | |
| (561) 826-8971 |
| Full Name | Shawnna M Hampton Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2900 N Military Trl, Boca Raton, Florida |
| Authorized Official Name and Position | Shawnna M Hampton (PRESIDENT) |
| Authorized Official Contact | 5612899467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnna M Hampton Do Pllc Po Box 970154 Boca Raton FL 33497-0154 Ph: (561) 289-9467 | Shawnna M Hampton Do Pllc 2900 N Military Trl #205 Boca Raton FL 33431-6365 Ph: (561) 289-9467 |
| NPI Number | 1750403036 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 10/17/2013 |
| Medicare PECOS PAC ID | 0941388995 |
|---|---|
| Medicare Enrollment ID | O20080416000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750403036 | NPI | - | NPPES |
| 276068100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS9304 (Florida) | Primary |
| Provider Name | Dwight G Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673139 PECOS PAC ID: 5092778613 Enrollment ID: I20041104001109 |
| Provider Name | Patricia Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588688915 PECOS PAC ID: 5597790899 Enrollment ID: I20051005000266 |
| Provider Name | Shawnna Minnette Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336155217 PECOS PAC ID: 2264438779 Enrollment ID: I20061005000519 |
| Provider Name | Jermaine A Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017387 PECOS PAC ID: 0840599551 Enrollment ID: I20160502001788 |
| Provider Name | Ellen Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942465000 PECOS PAC ID: 5991865438 Enrollment ID: I20171201002542 |
| Provider Name | Samantha L Burstell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235653825 PECOS PAC ID: 9335568211 Enrollment ID: I20200925001033 |
| Provider Name | Brittany Ewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720765803 PECOS PAC ID: 8022472547 Enrollment ID: I20230915001806 |
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