Search › Florida › 202C00000X
Lawrence Shivertaker, MD
NPI 1194963454 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2486 Shalimar Ln
Orange Park, FL 32073 - Phone
- (904) 269-5274
Registry record
- Primary taxonomy
- 202C00000X
202C00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida