# JIMMY L. WILSON, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Veterans Acupuncture Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578088993
- **Authorized official:** HIROKO SHIMODA (CEO)
- **Authorized official phone:** (407) 497-8446

## Contact information

- **Practice address:** 14 OLD GROVE LN, ALTAMONTE SPRINGS, FL 32701-7947
- **Practice address phone:** (407) 497-8446
- **Mailing address:** 1096 HOWELL HARBOR DR, CASSELBERRY, FL 32707-5811
- **Mailing address phone:** (407) 497-8446
- **Mailing address fax:** (407) 951-5634

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2017
- **Last updated:** 05/23/2024