Provider Demographics
NPI:1023206562
Name:FIGUEROA, KARIN (PHD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6645 VINELAND RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7841
Mailing Address - Country:US
Mailing Address - Phone:407-363-6779
Mailing Address - Fax:407-363-6830
Practice Address - Street 1:6645 VINELAND RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7841
Practice Address - Country:US
Practice Address - Phone:407-363-6779
Practice Address - Fax:407-363-6830
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5606103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54368OtherBLUE CROSS/BLUE SHIELD
FL54368AMedicare PIN