Individual
STUART S SHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., D.O.M.
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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