NPI | 1043415433 |
---|---|
Doing Business As | PREMIER OPTHALMOLOGY & AESTHETICS |
Entity Type | Organization |
Authorized Contact | JACQUELINE K FLUD Owner 352-241-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS9523) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |