Provider Demographics
NPI:1750170999
Name:PEDROZA FIGUEROA, JUAN PABLO (APRN)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:PABLO
Last Name:PEDROZA FIGUEROA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8297 CHAMPIONS GATE BLVD # 463
Mailing Address - Street 2:
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8387
Mailing Address - Country:US
Mailing Address - Phone:863-547-0788
Mailing Address - Fax:863-547-0789
Practice Address - Street 1:212 S DIXIE DR
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-2801
Practice Address - Country:US
Practice Address - Phone:863-547-0788
Practice Address - Fax:863-547-0789
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily