Individual
DR. EDGARDO ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2323
(305) 953-2308
Mailing address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148410
FL
Other
Enumeration date
08/15/2006
Last updated
09/27/2024
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