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DR. LISA LICEAGA, LLC
NPI 1447944830
Clinic/Center - Medical Specialty in Altamonte Springs, FL

Active since June 07, 2023
831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714(407) 587-8600 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Liceaga, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA LICEAGA, LLC (NPI 1447944830) is a healthcare organization registered as a medical specialty in Altamonte Springs, Florida and active in the NPI registry since June 2023. The organization lists Lisa Liceaga, Physician, as its authorized official.

NPPES Registry Identity

NPI1447944830
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDR. LISA LICEAGA, LLC
Location Address831 S STATE ROAD 434Altamonte Springs, FL 32714-3502
Mailing Address12386 State Road 535 # 105Orlando, FL 32836-6701 · (407) 801-3295 · Fax (410) 907-7757
Phone(407) 587-8600
Organization SubpartNo
Authorized OfficialLisa LiceagaPhysician · (949) 275-2718
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1447944830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
831 S STATE ROAD 434, Altamonte Springs, FL 32714
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPRIYA SHAH MD PA
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (937) 266-5188
INSIGHT NEUROPSYCHOLOGY LLC
Clinical Neuropsychologist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 587-8600
JESSICA DEL VALLE TORRES
Physical Therapist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 587-8600
SUPRIYA HEMANT SHAH
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (937) 266-5188
DR. ELIAM MANUEL FUENTES TIRADO M.D.
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 256-3456
EREHAB LLC
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (787) 955-0232
KARIN SIEGER, PHD, LLC
Psychologist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 587-8600
MS. JOANNA Q HANNAH PA
Physician Assistant
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Seminole County (407) 587-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Lisa Liceaga, LLC's NPI number?

The NPI number for Dr. Lisa Liceaga, LLC is 1447944830. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is Dr. Lisa Liceaga, LLC located?

Dr. Lisa Liceaga, LLC is located at 831 S State Road 434, Altamonte Springs, FL 32714. The listed phone number is (407) 587-8600.

What is Dr. Lisa Liceaga, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Dr. Lisa Liceaga, LLC was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.