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Organization
PREMIER FLORIDA VISION LLC
Active
Organization
PREMIER FLORIDA VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LEVY MD (OWNER)
(954) 792-6411
Entity
Organization
Contact information
Practice address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-7588
Mailing address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-7588
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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