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: July 19, 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.Information from the official NPPES registry record.

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
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


The following 16 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physician Assistant
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Psychologist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Clinical Neuropsychologist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Psychologist (Clinical)
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Therapist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Occupational Therapist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Therapist
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Rehabilitation Hospital
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Nurse Practitioner (Family)
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714
Physical Medicine & Rehabilitation
831 S STATE ROAD 434
ALTAMONTE SPRINGS, FL 32714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447944830, enumerated as an "organization" on June 07, 2023.

The provider is located at 831 S STATE ROAD 434 ALTAMONTE SPRINGS, FL 32714 and the phone number is (407) 587-8600.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.