Theodore William Gannon in Fort Lauderdale - Acupuncturist
Theodore William Gannon - NPI 1164634192
Theodore William Gannon is a Acupuncturist in Fort Lauderdale, Florida. Theodore William Gannon practices all healthcare services and medical treatments related to Acupuncturist. The NPI Number for Theodore William Gannon is 1164634192. The last update date is 2023-01-17.
Theodore William Gannon's current location address is 4725 N Federal Hwy, Fort Lauderdale, Florida. You can contact this provider via phone number 9542297908. The mailing address for Theodore William Gannon is 4725 N Federal Hwy, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore William Gannon |
|---|---|
| Address | 4725 N Federal Hwy, Fort Lauderdale, Florida |
| Phone Number | 9542297908 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L. AC. |
NPI Number Detail
| NPI Number | 1164634192 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
| Address | 4725 N Federal Hwy |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333084603 |
| Phone Number | 9542297908 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Acupuncturist |
|---|---|
| Taxonomy | 171100000X |
| Licence No | 1863 |
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Definition: An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthes |
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What is the unique 10-digit identification code assigned to Theodore William Gannon by the Centers for Medicare & Medicaid Services?
The Theodore William Gannon has been issued the NPI (National Provider Identifier) 1164634192, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Theodore William Gannon?
The Theodore William Gannon is physically situated at 4725 N Federal Hwy, in the city of Fort Lauderdale, state of FL, with the postal code 333084603.
What is Theodore William Gannon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore William Gannon is Acupuncturist, and the taxonomy code that categorizes this field of expertise is 171100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164634192 to Theodore William Gannon?
The Theodore William Gannon received its 1164634192 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date were the Theodore William Gannon's details last updated?
The information pertaining to the Theodore William Gannon, including its address, specialty, and other details, was most recently updated on 2023-01-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA