# LONGVILLEACU

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LongvilleAcu
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710489331
- **Authorized official:** LEONIE WIMS L.,AC. (OWNER)
- **Authorized official phone:** (954) 769-0946

## Contact information

- **Practice address:** 2740 E OAKLAND PARK BLVD STE 101, FT LAUDERDALE, FL 33306-1675
- **Practice address phone:** (954) 769-0946
- **Mailing address:** 2740 E OAKLAND PARK BLVD STE 101, FT LAUDERDALE, FL 33306-1675
- **Mailing address phone:** (954) 769-0946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP3878 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 04/27/2021