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Organization
STUART S. SHIPE, D.O.M., P.A.
Active
Organization
STUART S. SHIPE, D.O.M., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART S SHIPE D.O.M. (ACUPUNCTURE PHYSICIAN)
(772) 398-4550
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL 34952-7553
(772) 398-4550
(772) 398-4552
Mailing address
1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL 34952-7553
(772) 398-4550
(772) 398-4552
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1627
FL
183500000X
Pharmacist
PS22540
FL
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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