Provider Demographics
NPI:1225708779
Name:FIGUEROA, SOL Y (RD LDN)
Entity Type:Individual
Prefix:
First Name:SOL
Middle Name:Y
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 N TWIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-9262
Mailing Address - Country:US
Mailing Address - Phone:863-399-1267
Mailing Address - Fax:
Practice Address - Street 1:3190 N TWIN LAKES DR
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-9262
Practice Address - Country:US
Practice Address - Phone:863-399-1267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9972133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty