Provider Demographics
NPI:1023179157
Name:FITCH, CLAIRE E (ACUP PHYSICIAN)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:E
Last Name:FITCH
Suffix:
Gender:F
Credentials:ACUP PHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5311 SW 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5112
Mailing Address - Country:US
Mailing Address - Phone:954-434-7881
Mailing Address - Fax:954-680-6728
Practice Address - Street 1:1189 SW 26TH AVE
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-3017
Practice Address - Country:US
Practice Address - Phone:954-326-7310
Practice Address - Fax:954-797-0331
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1706171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist