OrganizationShawnna M Hampton Do PllcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2900 N Military Trl, #205, Boca Raton, FL 33431-6365(561) 289-9467PECOS EnrollmentBased on the most recent information from CMS, provider Shawnna M Hampton Do Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750403036Provider TypeOrganizationFull NameShawnna M Hampton Do PllcSubpartNoEnumeration Date4/6/2007Last Updated10/17/2013Contact InformationPractice LocationPractice Address2900 N Military Trl, #205, Boca Raton, FL 33431-6365Phone(561) 289-9467Fax(561) 826-8971Mailing LocationMailing AddressPO Box 970154, Boca Raton, FL 33497-0154Phone(561) 289-9467Fax(561) 826-8971Authorized OfficialNameHampton, Shawnna M (President)Phone(561) 289-9467Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseOS9304FloridaProvider IdentifiersIDDescriptionIssuerID276068100DescriptionMedicaidIssuerUnlistedFlorida