Healthcare Provider Details

I. General information

NPI: 1598703852
Provider Name (Legal Business Name): MIGUEL FIGUEROA MD, FIPP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SGT PRENTISS DR STE 201
NATCHEZ MS
39120-4751
US

IV. Provider business mailing address

4131 UNIVERSITY BLVD S # BLDNG12
JACKSONVILLE FL
32216-4326
US

V. Phone/Fax

Practice location:
  • Phone: 601-445-7470
  • Fax: 601-445-7479
Mailing address:
  • Phone: 904-274-8813
  • Fax: 904-503-4465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number25243
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License NumberME72004
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25243
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: