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Theodore Gannon, L. AC
NPI 1164634192 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4725 N Federal Hwy
Fort Lauderdale, FL 33308 - Phone
- (954) 229-7908
- Organisation at this address
- Todd Jacobs Pa
Cep America Llc
Lalit K Shah Md Pa
Surgical Peace Llc
Holy Cross HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 264
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Also registered as
- Acupuncturist
- Licence states on file
- FL, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-17
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