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Organization
AEG FLORIDA PROFESSIONAL PLLC
Active
Organization
AEG FLORIDA PROFESSIONAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLISON (SENIOR DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization
Contact information
Practice address
4788 HODGES BLVD STE 205, JACKSONVILLE, FL 32224-7223
(904) 992-9991
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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