Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | $$$$$$$$$ | PR |
Y | 103T00000X | Psychologist | $$$$$$$$$ | PR |
NPI | 1013225929 |
---|---|
Provider Name | Nikos Figueroa |
First Address | Kissimmee, FL 34746-5766 |
Second Address | Kissimmee, FL 34746-5766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 20/06/2018 |