Individual
ELIZABETH SHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
855 CARPENTERS WAY, LAKELAND, FL 33809-4157
(872) 231-3162
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME124451
FL
Other
Enumeration date
05/07/2011
Last updated
11/25/2025
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