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General NPI Number Information
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NPI Number | 1043187602
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Entity Type | Organization
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Legal Business Name | VITALEYES, PLLC
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 7347 POWELL RD STE B
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City | WILDWOOD
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State | FL
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Zip | 34785-4258
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Country | US
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Telephone | 352-804-2397
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Fax | 352-244-8776
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Provider Business Mailing Address
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Address Line | 2370 SE LAUREL RUN DR
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City | OCALA
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State | FL
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Zip | 34471-8205
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Country | US
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Telephone | 352-804-2397
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Fax | 352-244-8776
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ALETHIA HELEN PANTAZIS
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Credential | MD
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Telephone | 352-804-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0109X
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Taxonomy Name | Neuro-ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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