MEDICARE: MRS. NANCY FIGUEREDO

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	235Z00000X	Speech-Language Pathologist	SA15982	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790315398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY FIGUEREDO

Provider Business Mailing Address
First Line	:	5125 SW 117TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5125 SW 117TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1733
Country	:	US
Telephone Number	:	305-302-9087
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2020
Last Update Date	:	01/22/2020

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Directions to “ MRS. NANCY FIGUEREDO ” Practice Location

Language	Start Address	Practice Location

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