Healthcare Provider Details

I. General information

NPI: 1780548487
Provider Name (Legal Business Name): HAMPTON HOLISTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 GAY RD UNIT 19
WINTER PARK FL
32789-3074
US

IV. Provider business mailing address

1415 MILLER AVE
WINTER PARK FL
32789-4830
US

V. Phone/Fax

Practice location:
  • Phone: 407-443-7791
  • Fax:
Mailing address:
  • Phone: 407-443-7791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMRI NICOLE HAMPTON
Title or Position: OWNER
Credential: DAOM
Phone: 407-443-7791