Individual
ERIC SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 W PINE ST, ORLANDO, FL 32801-2610
(321) 315-3601
Mailing address
35 W PINE ST STE 218, ORLANDO, FL 32801-2656
(321) 315-3601
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9246384
FL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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