Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Theodore William Gannon, LAC

Individual provider Acupuncturist · NPI 1164634192

Mr. Theodore William Gannon, LAC is an Acupuncturist in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida and Ohio.

Licensed in
FL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone: (954) 229-7908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 007468 (OH)
Acupuncturist Taxonomy 171100000X · Licence 1863 (FL)

Record details

NPI number1164634192
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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