Individual
DR. BRUCE VINIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
101 CRYSTAL VW S, SANFORD, FL 32773-4807
(407) 321-1377
(407) 321-7688
Mailing address
101 CRYSTAL VW S, SANFORD, FL 32773-4807
(407) 321-1377
(407) 321-7688
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP549
FLORIDA DEPT OF HEALTH AND PROFESSIONAL REGULATION
FL
Enumeration date
06/15/2008
Last updated
06/15/2008
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