| NPI | 1033397302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART S SHIPE Acupuncture Physician 772-398-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP1627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS22540) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |