Basic Information
| Provider Information | |||||||||
| NPI: | 1881783215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEVEUX | ||||||||
| FirstName: | ELENA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1580 SW PROSPERITY WAY | ||||||||
| Address2: | |||||||||
| City: | PALM CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 349902430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7724084866 | ||||||||
| FaxNumber: | 7723988090 | ||||||||
| Practice Location | |||||||||
| Address1: | 9797 BAY PINES BLVD | ||||||||
| Address2: | |||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337083775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273985090 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 05/25/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OPC 3930 | FL | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.