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Organization
PREMIER EYE SURGERY LLC
Active
Organization
PREMIER EYE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QING GE MD (MEDICAL DIRECTOR)
(386) 788-6198
Entity
Organization
Contact information
Practice address
3641 CLYDE MORRIS BLVD STE 500, PORT ORANGE, FL 32129-2357
(386) 788-6198
Mailing address
3641 CLYDE MORRIS BLVD STE 500, PORT ORANGE, FL 32129-2357
(386) 788-6198
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
12/01/2022
Last updated
08/22/2023
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