Individual
MICHAEL N. SHEVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1965
(863) 603-6565
(863) 904-1961
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0051343
FL
Other
Enumeration date
09/14/2005
Last updated
07/26/2022
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