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DR. LAWRENCE WAYNE SHIVERTAKER MD
NPI 1194963454
Independent Medical Examiner in Orange Park, FL

Active since January 25, 2009
2486 SHALIMAR LN, ORANGE PARK, FL 32073(904) 269-5274 Get Directions Write a Review

NPPES record last updated: January 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence Wayne Shivertaker Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE WAYNE SHIVERTAKER MD (NPI 1194963454) is an individual independent medical examiner provider in Orange Park, Florida, licensed in Florida (ME60157) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1194963454
Entity TypeIndividualMale
Primary Taxonomy202C00000X
Provider Legal NameDR. LAWRENCE WAYNE SHIVERTAKERCredential: MD
Location Address2486 SHALIMAR LNOrange Park, FL 32073-6123
Mailing Address2486 Shalimar LnOrange Park, FL 32073-6123 · (904) 269-5274
Phone(904) 269-5274
Sole ProprietorYes
Enumeration DateJanuary 25, 2009
✔ NPI 1194963454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians
Taxonomy Code202C00000X
License✔ Licensed in FL · ME60157
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
2486 SHALIMAR LN, Orange Park, FL 32073
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Shivertaker's NPI number?

The NPI number for Lawrence Shivertaker is 1194963454. It was assigned to this individual provider in the NPPES registry on January 25, 2009.

Where is Lawrence Shivertaker located?

Lawrence Shivertaker practices at 2486 Shalimar Ln, Orange Park, FL 32073. The listed phone number is (904) 269-5274.

What is Lawrence Shivertaker's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

When was this NPI record last updated?

The NPPES record for Lawrence Shivertaker was last updated on January 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.