Provider Demographics
NPI:1568829091
Name:ALCE, ALLIKA (IBCLC, RN)
Entity type:Individual
Prefix:
First Name:ALLIKA
Middle Name:
Last Name:ALCE
Suffix:
Gender:F
Credentials:IBCLC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 W COLONIAL DR STE 28
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7154
Mailing Address - Country:US
Mailing Address - Phone:407-480-6098
Mailing Address - Fax:
Practice Address - Street 1:1310 W COLONIAL DR STE 28
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7154
Practice Address - Country:US
Practice Address - Phone:407-480-6098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374J00000X
FL9669785163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No374J00000XNursing Service Related ProvidersDoula