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Dr. Lisa Liceaga, Llc
Medical Specialty Clinic/Center in Altamonte Springs, Florida
NPI 1447944830

Dr. Lisa Liceaga, Llc is a Medical Specialty Clinic/Center based in Orlando, FL and is specialized in Medical Specialty. Dr. Lisa Liceaga, Llc practices in Altamonte Springs, FL. The NPI Number for Dr. Lisa Liceaga, Llc is 1447944830 and holds a License No. (Florida).

The current practice location address for Dr. Lisa Liceaga, Llc is 831 S State Road 434, Altamonte Springs, FL and can be reached out via phone at 407-587-8600.

Location: 831 S State Road 434, Altamonte Springs, FL, 32836-6701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447944830
Provider Name
Dr. Lisa Liceaga, Llc
Credential
Provider Entity Type
Organization
Address
831 S State Road 434, Altamonte Springs, FL, 32836-6701
Phone Number
407-587-8600
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
831 S State Road 434
City
Altamonte Springs
State
Florida
Zip
32714-3502
Phone Number
407-587-8600
Fax Number
person
Provider Business Mailing Address Details
Address
831 S State Road 434
City
Altamonte Springs
State
Florida
Zip
32714-3502
Phone Number
407-587-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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