Provider Demographics
NPI:1508018235
Name:FIGUEROLA, NICOLE (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:FIGUEROLA
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 SW 51ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6404
Mailing Address - Country:US
Mailing Address - Phone:305-815-3243
Mailing Address - Fax:
Practice Address - Street 1:FLORIDA INTERNATIONAL UNIVERSITY
Practice Address - Street 2:11200 SW 8TH STREET ZEB 256 UNIVERSITY PARK CAMPUS
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-0001
Practice Address - Country:US
Practice Address - Phone:305-348-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL24962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer