Healthcare Provider Details

I. General information

NPI: 1427911817
Provider Name (Legal Business Name): JEANNETTE FIGUEROA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 NE 1ST ST
CHIEFLAND FL
32626-1224
US

IV. Provider business mailing address

304 NE 1ST ST
CHIEFLAND FL
32626-1224
US

V. Phone/Fax

Practice location:
  • Phone: 407-460-2949
  • Fax:
Mailing address:
  • Phone: 407-460-2949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JEANNETTE FIGUEROA
Title or Position: OWNER
Credential:
Phone: 407-460-2949