Individual
AIXA E LAJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7714 E COLONIAL DR, ORLANDO, FL 32807-8422
(407) 745-4581
(407) 745-4583
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(078) 450-3304
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18799
PR
208D00000X
General Practice Physician
Primary
ACN802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1133316
CAREPLUS
FL
01
—
1230723
WELLCARE
FL
01
—
18799
LICENSE
PR
01
—
A8I0G
FLORIDA BLUE
FL
01
—
ACN802
MEDICAL LIC
FL
01
—
P01805021
SIMPLY
FL
01
—
P1043313
FREEDOM
FL
01
—
P979938
OPTIMUM
FL
Enumeration date
12/15/2010
Last updated
03/23/2018
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