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General NPI Number Information
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NPI Number | 1245626027
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Entity Type | Organization
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Legal Business Name | FLORIDA VISION CENTERS INC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 28901 TRAILS EDGE BLVD STE 201
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-7588
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Country | US
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Telephone | 239-919-4342
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Fax | 239-919-4342
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Provider Business Mailing Address
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Address Line | 2338 IMMOKALEE RD # 203
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City | NAPLES
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State | FL
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Zip | 34110-1445
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Country | US
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Telephone | 239-919-4342
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Fax | 239-919-4342
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BORIS OVODENKO
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Credential | MD
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Telephone | 646-236-8702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME103168
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License Number State | FL
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