# GYPSY BLUE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gypsy Souls Natural Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093347809
- **Authorized official:** YAMAYA PINO (OWNER)
- **Authorized official phone:** (941) 726-7865

## Contact information

- **Practice address:** 4404 GROVELAND AVE, SARASOTA, FL 34231-7556
- **Practice address phone:** (941) 726-7865
- **Mailing address:** PO BOX 17963, SARASOTA, FL 34276-0963

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2020
- **Last updated:** 02/10/2020