Provider Demographics
NPI:1538833074
Name:FIGUEROA, MARISABEL
Entity type:Individual
Prefix:
First Name:MARISABEL
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 BOWDEN RD UNIT 504
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-3666
Mailing Address - Country:US
Mailing Address - Phone:601-906-0745
Mailing Address - Fax:
Practice Address - Street 1:6700 BOWDEN RD UNIT 504
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-3666
Practice Address - Country:US
Practice Address - Phone:601-906-0745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant