Provider Demographics
NPI:1962468322
Name:CHESHIRE, CHRISTOPHER LEE (AP)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:CHESHIRE
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 OLD CAMP RD STE 164
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-5609
Mailing Address - Country:US
Mailing Address - Phone:352-430-2720
Mailing Address - Fax:352-430-2724
Practice Address - Street 1:910 OLD CAMP RD STE 164
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5609
Practice Address - Country:US
Practice Address - Phone:352-430-2720
Practice Address - Fax:352-430-2724
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2152171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist