Healthcare Provider Details

I. General information

NPI: 1144124843
Provider Name (Legal Business Name): ALICIA LEPAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1653 SW FORT KING ST
OCALA FL
34471-1405
US

IV. Provider business mailing address

1653 SW FORT KING ST
OCALA FL
34471-1405
US

V. Phone/Fax

Practice location:
  • Phone: 570-676-6739
  • Fax:
Mailing address:
  • Phone: 570-676-6739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberEMT602443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: