Search › Florida › 183500000X
Jeremy Lichaa
NPI 1437496585 · on the registry since 2013
Practice
- Address
- 1339 W Palmetto Park Rd
Boca Raton, FL 33486 - Phone
- (561) 362-5311
- Fax
- (561) 447-1170
- Organisation at this address
- Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- FL, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida