# AEG FLORIDA PROFESSIONAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Orlando Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598560880
- **Authorized official:** MELISSA ALLISON (SR. DIRECTOR MVC)
- **Authorized official phone:** (314) 741-8183

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025