Alicea, Jose M

Alicea, Jose M is an individual health care provider with primary practice located at 4575 Se Dixie Hwy , Stuart FL 34997-6826. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Alicea, Jose M can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
4575 Se Dixie Hwy Stuart FL 34997-6826
Phone: (855) 832-6727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X Florida

Profile Details

NPI number 1790299170
LBN Legal business name Alicea, Jose M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790299170 NPPES
Florida MEDICAID 017422400

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