Individual
STUART S SHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., D.O.M.
Contact information
Practice address
1801 SE HILLMOOR DR, SUITE A104, PORT ST LUCIE, FL 34952-7553
(772) 398-4550
Mailing address
3903 PROMENADE WAY, FORT PIERCE, FL 34982-8909
(772) 467-2003
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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