Individual
LUIS A ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4129 W KENNEDY BLVD STE 1, TAMPA, FL 33609-2254
(813) 288-9700
(813) 639-0300
Mailing address
4129 W KENNEDY BLVD STE 1, TAMPA, FL 33609-2254
(813) 288-9700
(813) 639-0300
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
2460
PR
1223P0700X
Prosthodontics
Primary
DN15801
FL
Other
Enumeration date
09/28/2006
Last updated
07/28/2026
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