Healthcare Provider Details

I. General information

NPI: 1992935241
Provider Name (Legal Business Name): WILLIAM T SHUMAN JR. L.AC., DIPL. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1197
US

IV. Provider business mailing address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1197
US

V. Phone/Fax

Practice location:
  • Phone: 523-548-7090
  • Fax:
Mailing address:
  • Phone: 352-548-7090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2876
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: