Individual
DR. TERESITA ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3070 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 932-7930
(407) 932-7935
Mailing address
3070 DYER BLVD, KISSIMMEE, FL 34741-7839
(407) 932-7930
(407) 932-7935
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME67925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252839800
—
FL
Enumeration date
10/20/2005
Last updated
05/14/2020
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