Individual
NICOLE ORTEGA FIGUEROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2845
(772) 873-8811
Mailing address
2517 SW SAVONA BLVD, PORT ST LUCIE, FL 34953-7320
(772) 607-1268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/06/2023
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