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Provider Information for 1225655426


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SURGEY FIGUEROA LMHC


Sex: Female

NPI: 1225655426
Last Updated: 2020-07-03
Certification Date: 2020-07-03

Details

NameValue
NPI1225655426
Enumeration Date2020-07-03
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4730 PEACOCK DR
PENSACOLA, FL 32504-6827
United States

Phone: 850-712-6418 | Fax:
 
Primary Practice Address 1101 GULF BREEZE PKWY STE 12
GULF BREEZE, FL 32561-4892
United States

Phone: 850-391-3012 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH16420