Organization
ELITE EYES BY DR PANETTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE PANETTA (CHIEF FINANCIAL OFFICER)
(727) 858-8925
Entity
Organization
Contact information
Practice address
7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
(727) 808-7961
Mailing address
7802 CITRUS PARK TOWN CENTER MALL, TAMPA, FL 33625-3178
(727) 808-7961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659157659
NPI
FL
Enumeration date
04/07/2025
Last updated
04/07/2025
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