# PREMIER FLORIDA VISION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205675758
- **Authorized official:** JACQUELYN LEVY MD (OWNER)
- **Authorized official phone:** (954) 792-6411

## Contact information

- **Practice address:** 499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
- **Practice address phone:** (954) 792-6411
- **Practice address fax:** (954) 792-7588
- **Mailing address:** 499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
- **Mailing address phone:** (954) 792-6411
- **Mailing address fax:** (954) 792-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2024
- **Last updated:** 05/23/2024