MEDICARE: KARIN FIGUEROA, INC.

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
1	103T00000X	Psychologist	PY5606	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1023206562	OTHER	FL	INDIVIDUAL NPI
2	54368	OTHER	FL	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1689614364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARIN FIGUEROA, INC.

Provider Business Mailing Address
First Line	:	7330 WOODBRIAR CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 WOODBRIAR CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2707
Country	:	US
Telephone Number	:	407-592-7497
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST/OWNER
Name	:	DR. KARIN CHRISTINE FIGUEROA
Credential	:	PH.D.
Telephone Number	:	407-592-7497

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/25/2009

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