# VREELAND ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689964199
- **Authorized official:** MIMI VREELAND AP (ACUPUNCTURE PHYSICIAN)
- **Authorized official phone:** (904) 814-4323

## Contact information

- **Practice address:** 2180 A1A S, SUITE 104, SAINT AUGUSTINE, FL 32080-6591
- **Practice address phone:** (904) 814-4323
- **Mailing address:** PO BOX 840283, SAINT AUGUSTINE, FL 32080-0283
- **Mailing address phone:** (904) 814-4323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 04/18/2011
- **Last updated:** 04/18/2011