Individual
MISS JEANNETTE MARIE FIGUEROA-GORDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4700 N HABANA AVE STE 101, TAMPA, FL 33614-7116
(813) 444-9599
(813) 513-8210
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14424
PR
208D00000X
General Practice Physician
Primary
ACN480
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14424
LICENSE
PR
01
—
ACN480
MEDICAL LICENCE
FL
Enumeration date
12/19/2006
Last updated
01/25/2018
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