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1811663131
OMAR JOSE VAZQUEZ ALICEA
LEESBURG, FL
NPI
1811663131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 22439)
Enumeration Date
2021-08-17
Last Update Date
2023-05-23
Business Address
OMAR JOSE VAZQUEZ ALICEA MD
225 N 1ST ST
LEESBURG, FL 34748-5150
Phone number: 407-905-8827
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Mailing Address
OMAR JOSE VAZQUEZ ALICEA MD
110 S WOODLAND ST
WINTER GARDEN, FL 34787-3546
Phone number: 407-905-8827
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