VAL-U-VISION OF BEAUCLERC-MANDARIN INC
Optometry at San Jose Blvd, Jacksonville, FL

License number
Florida OPC 1046
Category
Optometry
Type
Optometrist
Owner
Name: DR. GAYLE P LEINWOHL OD
Title: PRESIDENT/ PHYSICIAN
Phone: (904) 730-2299
Address
Address
9397 San Jose Blvd SUITE 2, Jacksonville, FL 32257
National Provider ID: 1255361416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Val-U-Vision of Beauclerc-Mandarin, Inc

Jacksonville, FL

Registration:
May 24, 1999
Addresses:
9397-3 San Jose Blvd, Jacksonville, FL 32257
9397-2 San Jose Blvd, Jacksonville, FL 32257
State ID:
P99000048083
Business type:
Domestic for Profit Corporation
Treasurer, Secretary, Vice Presidents:
Gayle P. Leinwohl (Director, President),Alan I. Rauchwarger President, Director, inactive,Diana Rauchwarger Treasurer, Secretary, Vice President, inactive
Agent:
D. R. Repass

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