Individual
JASON EDWARD SANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3817 E COLONIAL DR, ORLANDO, FL 32803-5207
(407) 924-1370
Mailing address
PO BOX 446, GOTHA, FL 34734-0446
(407) 924-1370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6209114
—
FL
Enumeration date
09/14/2006
Last updated
07/09/2007
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