MEDICARE: VIRGINIA LAUREN VEREEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP4390	FL

General Provider Information

NPI Number	:	1174248298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA LAUREN VEREEN

Provider Business Mailing Address
First Line	:	2740 SABAL ALEXANDER CIR APT 320
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-3700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	98 TERRA MANGO LOOP STE 12B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8514
Country	:	US
Telephone Number	:	689-698-9800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2022
Last Update Date	:	10/11/2022

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Directions to “ VIRGINIA LAUREN VEREEN ” Practice Location

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