Aeg Florida Professional PLLC
Optometrist in Orlando, FL. Organization (NPI-2).
NPI number1598560880
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1598560880
- Entity type
- Organization (NPI-2)
- Legal business name
- Aeg Florida Professional PLLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2025
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Southwest Orlando Eye Care (Doing Business As)
Practice location
7208 W Sand Lake Rd Ste 202Orlando, FL 32819-5278
Phone 407-271-8931
Mailing address
111 E 4th St Ste 440Alton, IL 62002-6206
Phone 314-741-8183
Authorized official
Melissa Allison
Sr. Director Mvc
3147418183
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