Organization
VIVID RECOVERY LLC
Active
Other names
Vivid Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONIKA TYNES DIPL OM, LAC (ACUPUNCTURE PHYSICIAN)
(727) 776-9949
Entity
Organization
Contact information
Practice address
3101 MAGUIRE BLVD, ORLANDO, FL 32803-3763
(727) 776-9949
Mailing address
5005 GARDENS DR, ORLANDO, FL 32812-8782
(727) 776-9949
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP03778
FL
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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