Alicea, Teresita
Alicea, Teresita is an individual health care provider with primary practice located at 3070 Dyer Blvd , Kissimmee FL 34741-7839. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Alicea, Teresita can be contacted via phone (407) 932-7930.Contact Information
Primary practice address
3070 Dyer Blvd
Kissimmee FL 34741-7839
Phone: (407) 932-7930
Fax: (407) 932-7935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME67925 | Florida |
Profile Details
| NPI number | 1972592087 |
|---|---|
| LBN Legal business name | Alicea, Teresita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | May 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972592087 | NPPES |
| Florida | MEDICAID | 252839800 |
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