Individual
MR. CARLOS RENE ALICEA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP-A
Contact information
Practice address
13574 VILLAGE PARK DR STE SUITE205, ORLANDO, FL 32837-7689
(407) 789-7777
Mailing address
10349 CYPRESS TRAIL DR, ORLANDO, FL 32825-5043
(786) 436-0278
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4512
FL
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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