Healthcare Provider Details

I. General information

NPI: 1982977757
Provider Name (Legal Business Name): MS. ANNIA M FIGUEREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIA M FIGUEREDO

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11880 SW 19TH LN APT 169
MIAMI FL
33175-1615
US

IV. Provider business mailing address

11880 SW 19TH LN APT 169
MIAMI FL
33175-1615
US

V. Phone/Fax

Practice location:
  • Phone: 305-467-7481
  • Fax:
Mailing address:
  • Phone: 305-467-7481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: