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Individual

DAYRA LICIER-OQUENDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14 W GORE ST, ORLANDO, FL 32806-1114
(321) 842-6671
(321) 843-6447
Mailing address
14 W GORE ST, ORLANDO, FL 32806-1114
(321) 842-6671
(321) 843-6447

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME150462
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114890800
FL
Enumeration date
08/07/2014
Last updated
10/01/2025
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