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Contact Information

PICKENS A GANTT III, LAC
1505 N FEDERAL HWY
LAKE WORTH, FL33460
 Phone: 561-533-7475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for PICKENS A GANTT III · (Male)

NPI Number 1548732985
Status Active
Credentials LAC
Entity Individual
Enumeration date 12/26/2018
Last updated 12/26/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AP4003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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