=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679035083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMNERIS HERNANDEZ FIGUEROA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2019
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14713 SULLY RUN
-----------------------------------------------------
City | ODESSA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33556-4674
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-475-7100
-----------------------------------------------------
Fax | 813-475-7119
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 720 BROOKER CREEK BLVD STE 215
-----------------------------------------------------
City | OLDSMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34677-2937
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-854-2003
-----------------------------------------------------
Fax | 813-436-5378
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | ME155228
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------