Provider Demographics
NPI:1568642577
Name:FIGUEROA, BERNADETTE (CMHP)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 AVENUE F NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4131
Mailing Address - Country:US
Mailing Address - Phone:863-294-7062
Mailing Address - Fax:863-291-6084
Practice Address - Street 1:1201 FIRST STREET S.
Practice Address - Street 2:SWEET CENTER
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880
Practice Address - Country:US
Practice Address - Phone:863-274-7062
Practice Address - Fax:863-291-6084
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator