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1447259106
ORLANDO JOSE ICAZA
LEESBURG, FL
NPI
1447259106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL ME66190)
Enumeration Date
2005-07-15
Last Update Date
2022-02-23
Business Address
Dr. ORLANDO JOSE ICAZA MD
732 N 3RD ST
LEESBURG, FL 34748-4442
Phone number: 352-265-8356
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Mailing Address
Dr. ORLANDO JOSE ICAZA MD
PO BOX 100275
GAINESVILLE, FL 32610-0275
Phone number: 352-273-7839
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