Most Relevant Information
Provider Data
| NPI Number: | 1003317199 |
| Provider Name: | IDALIS FIGUEROA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2018 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
1010 E ROSE ST
LAKELAND
FL
338012016
Practice Location Phone/Fax
| Phone: | 8634133126 |
| Fax: |
Provider Mailing Location
231 LAKE ELOISE POINTE BLVD
WINTER HAVEN
FL
338805821
Provider Mailing Phone/Fax
| Phone: | 2038739212 |
| Fax: |