Organization
PREMIERMED OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY VISSER MD (MANAGING MEMBER)
(407) 581-9065
Entity
Organization
Contact information
Practice address
1291 WINTER GARDEN VINELAND RD STE 130, WINTER GARDEN, FL 34787-6705
(407) 501-7100
(407) 501-7200
Mailing address
1291 WINTER GARDEN VINELAND RD STE 130, WINTER GARDEN, FL 34787-6705
(407) 501-7100
(407) 501-7200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/18/2023
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