IndividualActive
Elizabeth Shaker, MD
NPI 1356633465 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Lakeland, FL
Provider details
- NPI number
- 1356633465
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- ME124451 (FL)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense ME124451 (FL)
Allopathic & Osteopathic Physicians
Practice location
855 Carpenters Way
Lakeland, FL 33809-4157
Phone: (872) 231-3162
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22239
New York, NY 10087-0001
Additional practice locations (1)
- 290 Main St NwElk River, MN 55330-1270Phone: (763) 241-0373
Registry dates
- Enumerated
- 2011-05-07
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.