DR. LISA LICEAGA, LLC

ALTAMONTE SPRINGS, FL
NPI1447944830
Entity TypeOrganization
Authorized ContactLISA LICEAGA
Physician
949-275-2718
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2023-06-07
Last Update Date2023-06-07
Business Address
DR. LISA LICEAGA, LLC
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714-3502
Phone number: 407-587-8600
Mailing Address
DR. LISA LICEAGA, LLC
12386 STATE ROAD 535 # 105
ORLANDO, FL 32836-6701
Phone number: 407-801-3295
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