Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Omar Jose Vazquez Alicea, MD

Individual provider General Practice Physician · NPI 1811663131

Omar Jose Vazquez Alicea, MD is a General Practice Physician in Leesburg, Florida. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 N 1st St
Leesburg, FL 34748-5150
Phone: (407) 905-8827
Fax: (352) 360-2389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 22439 (PR)

Record details

NPI number1811663131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2021
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

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