JASON R WALLACE
Optometry at Varick Way, Casselberry, FL

License number
Florida 3679
Issued Date
Mar 16, 2009
Effective Date
Mar 25, 2011
Expiration Date
Feb 28, 2011
Category
Health Care
Type
Optometry Branch Office
Address
Address
1921 Varick Way, Casselberry, FL 32707

Personal information

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Name
Address
Phone
Jason Wallace, age 53
4702 Ricker Rd, Jacksonville, FL 32210
Jason Wallace
4329 Summit Creek Blvd APT 220, Orlando, FL 32837
Jason Wallace, age 56
5512 Smith Dr, Keystone Hgts, FL 32656
(352) 514-7039
Jason Wallace
5620 Collins Rd, Jacksonville, FL 32244
(904) 215-1914
Jason Wallace, age 42
37601 Rolling Acres Rd, Lady Lake, FL 32159

Organization information

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Jason R. Wallace, O.D., PA

1921 Varick Way, Casselberry, FL 32707

Status:
Inactive
Industry:
Optometrist's Office
Registration:
Mar 24, 2008
State ID:
P08000030728
Business type:
Domestic for Profit Corporation
President,:
Jason R. Wallace President,, inactive
Agent:
Abigail E. Stanton