Individual
JUDITH JACKELYN FARIA BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159-6827
(352) 259-2159
(352) 259-5731
Mailing address
32208 EDSON AVE, LEESBURG, FL 34748-7182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101267828
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME165475
FL
Other
Enumeration date
06/24/2019
Last updated
05/14/2025
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