NPI | 1982898219 |
---|---|
Doing Business As | PREMIER EYE CLINIC, P. A. |
Entity Type | Organization |
Authorized Contact | QING GE Owner/Director 386-788-6198 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME 96155) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |