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NPI Code Detail

MEDICARE: ALICIA G FACCA MD

MEDICARE: ALICIA G FACCA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianME86122FL

General Provider Information

NPI Number : 1609811249
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA G FACCA MD
Provider Business Mailing Address
First Line : 3601 FEDERAL HWY
Second Line :
City : MIAMI
State : FL
Zip : 33137-3795
Country : US
Telephone Number : 305-576-6611
Fax Number : 786-476-2845
Provider Business Practice Location Address
First Line : 3601 FEDERAL HWY
Second Line :
City : MIAMI
State : FL
Zip : 33137-3795
Country : US
Telephone Number : 305-576-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 06/05/2017

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Directions to “ ALICIA G FACCA MD” Practice Location

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