LAWRENCE WAYNE SHIVERTAKER

ORANGE PARK, FL
NPI1194963454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy202C00000X Independent Medical Examiner
(Licence: FL  me60157)
Enumeration Date2009-01-25
Last Update Date2009-01-25
Business Address
Dr. LAWRENCE WAYNE SHIVERTAKER MD
2486 SHALIMAR LN
ORANGE PARK, FL 32073-6123
Phone number: 904-269-5274
Mailing Address
Dr. LAWRENCE WAYNE SHIVERTAKER MD
2486 SHALIMAR LN
ORANGE PARK, FL 32073-6123
Phone number: 904-269-5274