NPI 1447259106

Orlando Jose Icaza, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Leesburg, FL

Practice location

Address: 732 N 3rd St, Leesburg, FL 34748-4442
Phone: (352) 265-8356
Fax: (352) 787-0854
Mailing address: PO Box 100275, Gainesville, FL 32610-0275

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence ME66190 (FL)

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Registry record

NPI: 1447259106
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2005
Record last updated: 23 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.