CODY L WALLACE
Radiology at Richmond Way, Fort White, FL

License number
Florida 87354
Issued Date
Jan 29, 2015
Effective Date
Jan 29, 2015
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Radiologic Technology
Address
Address 2
296 SW Richmond Way SW RICHMOND WAY, Fort White, FL 32038
655 W 8Th St, Jacksonville, FL 32209
Phone
(386) 466-7143
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Cody Wallace
1045 NW 59Th St, Miami, FL 33127
(305) 757-6524
Cody A Wallace
17255 95Th St, Village of Palmetto Bay, FL 33157
(305) 251-3927
Cody A Wallace, age 42
12014 Pasteur Dr, Orlando, FL 32826
(407) 275-3493

Radiology licenses in Florida