# STUART S. SHIPE, D.O.M., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033397302
- **Authorized official:** STUART S SHIPE D.O.M. (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (772) 398-4550

## Contact information

- **Practice address:** 1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL 34952-7553
- **Practice address phone:** (772) 398-4550
- **Practice address fax:** (772) 398-4552
- **Mailing address:** 1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL 34952-7553
- **Mailing address phone:** (772) 398-4550
- **Mailing address fax:** (772) 398-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP1627 | FL | Yes |
| 183500000X | Pharmacist | PS22540 | FL | — |

## Other

- **Enumeration date:** 02/08/2008
- **Last updated:** 02/08/2008