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Organization

AEG FLORIDA PROFESSIONAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ALLISON (SENIOR DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization

Contact information

Practice address
4788 HODGES BLVD STE 205, JACKSONVILLE, FL 32224-7223
(904) 992-9991
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6241
(618) 462-9818
(314) 741-4947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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