MEDICARE: JOHN BULLOCK HAMPTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME6550	FL

General Provider Information

NPI Number	:	1194933697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN BULLOCK HAMPTON M.D.

Provider Business Mailing Address
First Line	:	2403 S ARDSON PL # 502B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7346
Country	:	US
Telephone Number	:	813-258-8411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 S ARDSON PL # 502B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7346
Country	:	US
Telephone Number	:	813-258-8411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	12/07/2025

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