Organization
QING GE
Active
Other names
Premier Eye Clinic, P. A.
Organization subpart
No
Provider details
NPI number
Authorized official
QING GE M.D., PH.D. (OWNER/DIRECTOR)
(386) 788-6198
Entity
Organization
Contact information
Practice address
1515 HERBERT ST, SUITE 208, PORT ORANGE, FL 32129-6104
(386) 788-6198
(386) 788-4616
Mailing address
1515 HERBERT ST, SUITE 208, PORT ORANGE, FL 32129-6104
(386) 788-6198
(386) 788-4616
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME 96155
FL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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