Search › Florida › 171100000X
Peter Shark, LAC
NPI 1154503290 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1215 W Garden St
Pensacola, FL 32502 - Phone
- (850) 390-0774
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- CA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida