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Jimmy L. Wilson, INC

Acupuncturist in Altamonte Springs, FL. Organization (NPI-2).

NPI number1578088993
StatusActive
Last updated in NPPESMay 23, 2024

Details

NPI
1578088993
Entity type
Organization (NPI-2)
Legal business name
Jimmy L. Wilson, INC
Organization subpart
No
Enumeration date
Aug 7, 2017
Certification date
May 23, 2024
Last updated
May 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist––Yes

Other names

  • Veterans Acupuncture Center (Doing Business As)

Practice location

14 Old Grove Ln
Altamonte Springs, FL 32701-7947

Phone 407-497-8446

Mailing address

1096 Howell Harbor Dr
Casselberry, FL 32707-5811

Phone 407-497-8446 · Fax 407-951-5634

Authorized official

Hiroko Shimoda
Ceo
4074978446

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