Doctor Name: | ANA IRIS FIGUEROA |
NPI Number: | 1073628442 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | PA103735 |
Business Practice Address: | 335 Clyde Morris Blvd Suite 290 Ormond Beach, FL - 321743181 |
Business Phone Number: | 3866723219 |
Business Fax Number: | 3866723160 |
Mailing Address: | 23 Pillar Ln, PALM COAST |
State: | FL |
Postal Code: | 321647065 |
Phone Number: | 8636807206 |
Fax Number: | 8636807420 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA103735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |