Gannon, Theodore William

Gannon, Theodore William is an sole proprietor health care provider with primary practice located at 4725 N Federal Hwy , Fort Lauderdale FL 33308-4603. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is his primary health care specialty. Gannon, Theodore William can be contacted via phone (954) 229-7908.

Contact Information

Primary practice address
4725 N Federal Hwy Fort Lauderdale FL 33308-4603
Phone: (954) 229-7908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1863 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 007468 Ohio

Profile Details

NPI number 1164634192
LBN Legal business name Gannon, Theodore William
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Jan 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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