Omar Jose Vazquez Alicea, MD

NPI #1811663131 in Leesburg, Florida

Provider Information

NPI Number: 1811663131
Entity Type: Individual
Name: Omar Jose Vazquez Alicea, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Aug 17, 2021
Last Updated: May 23, 2023

Practice Location

Address: 225 N 1ST ST
City: Leesburg
State: Florida
ZIP Code: 34748-5150
Phone: (407) 905-8827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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