Provider Demographics
NPI:1578657714
Name:FIGUEROA, JOSEFINA (OWNER)
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7816 HARBOR BEND CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-8618
Mailing Address - Country:US
Mailing Address - Phone:321-228-7751
Mailing Address - Fax:407-281-1045
Practice Address - Street 1:5390 HOFFNER AVE
Practice Address - Street 2:SUITE G
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2458
Practice Address - Country:US
Practice Address - Phone:407-281-1011
Practice Address - Fax:407-281-1045
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies