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NPI Code Detail

MEDICARE: JASMINE FIGUEROA

MEDICARE: JASMINE FIGUEROA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianBACB964302AZ

General Provider Information

NPI Number : 1619718103
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE FIGUEROA
Provider Business Mailing Address
First Line : 3109 W DR MARTIN LUTHER KING JR BLVD STE 500
Second Line :
City : TAMPA
State : FL
Zip : 33607-6220
Country : US
Telephone Number : 813-289-0760
Fax Number :
Provider Business Practice Location Address
First Line : 3109 W DR MARTIN LUTHER KING JR BLVD STE 500
Second Line :
City : TAMPA
State : FL
Zip : 33607-6220
Country : US
Telephone Number : 813-289-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2024
Last Update Date : 06/06/2024

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Directions to “ JASMINE FIGUEROA ” Practice Location

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