Michael N. Shevach, MD
in Lakeland, FL. Individual provider (NPI-1).
NPI number1194710285
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1194710285
- Entity type
- Individual (NPI-1)
- Name
- Michael N. Shevach
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2005
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | ME0051343 | FL | Yes |
Practice location
3525 Lakeland Hills BlvdLakeland, FL 33805-1965
Phone 863-603-6565 · Fax 863-904-1961
Mailing address
1324 Lakeland Hills BlvdAttn: Medical Staff Office
Lakeland, FL 33805-4543
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