Organization
SHAFFER & LICHY DE LICHY AP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE SHAFFER A.P. (VICE PRESIDENT)
(305) 944-1290
Entity
Organization
Contact information
Practice address
15251 NE 18TH AVE, SUITE 12, NORTH MIAMI BEACH, FL 33162-6039
(305) 944-1290
(305) 944-1236
Mailing address
15251 NE 18TH AVE, SUITE 12, NORTH MIAMI BEACH, FL 33162-6039
(305) 944-1290
(305) 944-1236
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1354
FL
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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