NPI 1033642913

Vivid Recovery LLC

Organisation Acupuncturist Orlando, FL

Practice location

Address: 3101 Maguire Blvd, Orlando, FL 32803-3763
Phone: (727) 776-9949
Mailing address: 5005 Gardens Dr, Orlando, FL 32812-8782

Authorised official

Name: Veronika Tynes
Title: Acupuncture Physician
Phone: (727) 776-9949

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence AP03778 (FL)

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Registry record

NPI: 1033642913
Entity type: Organization
NPI issued: 6 Apr 2017
Record last updated: 6 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.