Provider Demographics
NPI:1437409703
Name:ALCAZAR, BRITTANY DIANE (BS)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DIANE
Last Name:ALCAZAR
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2349 WILD TAMARIND BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7392
Mailing Address - Country:US
Mailing Address - Phone:954-895-6764
Mailing Address - Fax:
Practice Address - Street 1:2349 WILD TAMARIND BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7392
Practice Address - Country:US
Practice Address - Phone:954-895-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2013-12-31
Deactivation Date:2013-02-06
Deactivation Code:
Reactivation Date:2013-12-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management