Healthcare Provider Details

I. General information

NPI: 1003127861
Provider Name (Legal Business Name): ASTRID GISELLE FIGUEROA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2010
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 PALERMO PL
VENICE FL
34285-2821
US

IV. Provider business mailing address

PO BOX 11393
BELFAST ME
04915-4004
US

V. Phone/Fax

Practice location:
  • Phone: 941-488-1906
  • Fax: 941-244-9326
Mailing address:
  • Phone: 941-766-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOS13915
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: