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.

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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

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