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Organization
VIVID RECOVERY LLC
Active
Organization
VIVID RECOVERY LLC
Active
Other names
Vivid Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONIKA TYNES DIPL OM, LAC (ACUPUNCTURE PHYSICIAN)
(727) 776-9949
Entity
Organization
Contact information
Practice address
3101 MAGUIRE BLVD, ORLANDO, FL 32803-3763
(727) 776-9949
Mailing address
5005 GARDENS DR, ORLANDO, FL 32812-8782
(727) 776-9949
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP03778
FL
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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