Provider Demographics
NPI:1508362559
Name:DREES, ALICIA SUAREZ-SOLAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:SUAREZ-SOLAR
Last Name:DREES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:MERCEDES
Other - Last Name:SUAREZ-SOLAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4033 TAMPA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3224
Mailing Address - Country:US
Mailing Address - Phone:813-854-2003
Mailing Address - Fax:813-436-5378
Practice Address - Street 1:1850 CROSSINGS BLVD UNIT 100
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-6106
Practice Address - Country:US
Practice Address - Phone:813-475-7100
Practice Address - Fax:813-475-7119
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME149621208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program