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Organization

AEG FLORIDA PROFESSIONAL PLLC

Active
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Organization

AEG FLORIDA PROFESSIONAL PLLC

Active
Other names
Southwest Orlando Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ALLISON (SR. DIRECTOR MVC)
(314) 741-8183
Entity
Organization

Contact information

Practice address
7208 W SAND LAKE RD STE 202, ORLANDO, FL 32819-5278
(407) 271-8931
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(314) 741-8183

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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