Individual
MR. RYAN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., LMT
Contact information
Practice address
13005 SOUTHERN BLVD.,, SUITE 225 ANKLE & FOOT CENTRE OF SOUTH FL., LOXAHATCHEE, FL 33470
(561) 707-8451
(954) 979-3841
Mailing address
4241 CARAMBOLA CIR S, COCONUT CREEK, FL 33066-2560
(561) 707-8451
(954) 979-3841
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 3223
FL
225700000X
Massage Therapist
MA35463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP 3223
FLORIDA DEPARTMENT OF HEALTH BOARD OF ACUPUNCTURE
FL
01
—
MA35463
STATE OF FLORIDA LICENSE NUMBER
FL
Enumeration date
05/24/2010
Last updated
09/09/2014
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