Organization
PREMIER EYE CARE OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PANOS (COO)
(561) 455-9002
Entity
Organization
Contact information
Practice address
4565 PONCE DE LEON BLVD STE 200, CORAL GABLES, FL 33146-1855
(561) 455-9002
Mailing address
PO BOX 980216, WEST SACRAMENTO, CA 95798-0216
(561) 455-9002
(800) 523-3788
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125168900
—
FL
Enumeration date
07/18/2008
Last updated
08/29/2025
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