Organization
PREMIER VISUAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANA P CETINA (OWNER/PRESIDENT)
(407) 352-4044
Entity
Organization
Contact information
Practice address
810 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 352-4044
(407) 352-4043
Mailing address
810 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 352-4044
(407) 352-4043
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME86805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266163200
—
FL
Enumeration date
07/06/2012
Last updated
11/19/2015
Update your record
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