# VIVID RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vivid Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033642913
- **Authorized official:** DR. VERONIKA TYNES DIPL OM, LAC (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (727) 776-9949

## Contact information

- **Practice address:** 3101 MAGUIRE BLVD, ORLANDO, FL 32803-3763
- **Practice address phone:** (727) 776-9949
- **Mailing address:** 5005 GARDENS DR, ORLANDO, FL 32812-8782
- **Mailing address phone:** (727) 776-9949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP03778 | FL | Yes |

## Other

- **Enumeration date:** 04/06/2017
- **Last updated:** 04/06/2017