Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1023459864 |
---|---|
Provider Name | Dr. Eugenio Figueroa |
First Address | Pembroke Pines, FL 33029-3052 |
Second Address | Pembroke Pines, FL 33029-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 27/02/2020 |