Search › Florida › 363LA2200X
Shaughn Whittaker
NPI 1932753456 · on the registry since 2019
Practice
- Address
- 1720 S Orange Ave
Orlando, FL 32806 - Phone
- (321) 842-9000
- Fax
- (321) 843-6326
- Organisation at this address
- Lori Smith, Lcsw, Llc
George William Chisholm, M.D.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Additional practice sites
- 410 Celebration Pl Ste 106, Celebration, FL
- 1350 Hickory St, Melbourne, FL
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- FL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-03
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