JACQUELINE Z FAY OD PA
Optometry at Tamiami Trl, Venice, FL

License number
Florida SL2513
Category
Optometry
Type
Optometrist
Owner
Name: DR. JACQUELINE Z FAY OD
Title: PRESIDENT
Phone: (941) 497-4451
Address
Address
1531 Tamiami Trl S SUITE 702A, Venice, FL 34285
National Provider ID: 1376761072
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jacqueline Z. Fay, O.D., PA

1531 Tamiami Trl S, Venice, FL 34285

Status:
Inactive
Industry:
Optometrist's Office
Doing business as:
Jacqueline Z Fay OD
Registration:
Feb 20, 2001
Phone:
(941) 497-4451 (Phone)
State ID:
P01000019094
Business type:
Domestic for Profit Corporation
Director, Owner, Od, President:
Jacqueline Z. Fay Director, Owner, Od, President, inactive
Agent:
Sari Lynn Reegler

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