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Jeannette Marie Figueroa-Gordian

General Practice

Allopathic & Osteopathic Physicians

4700 N Habana Ave Ste 101, Tampa, FL 33614-7116

PECOS Enrollment

This provider is enrolled in PECOS as JEANNETTE FIGUEROA-GORDIAN.

Based on the most recent information from CMS, provider Jeannette Marie Figueroa-Gordian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003979006
Provider Type
Individual
Full Name
Figueroa-Gordian, Jeannette Marie
Title
Miss
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/19/2006
Last Updated
1/25/2018

Contact Information

Practice Location

4700 N Habana Ave Ste 101, Tampa, FL 33614-7116

(813) 444-9599

(813) 513-8210

Mailing Location

6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027

(407) 845-0330

(888) 972-1752

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License ACN480 Florida
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 14424 Puerto Rico

Provider Identifiers

ID	Description	Issuer
ID ACN480	Description Other	Issuer MEDICAL LICENCE Florida
ID 14424	Description Other	Issuer LICENSE Puerto Rico

Jeannette Marie Figueroa-Gordian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Nichols, Rugile

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Physician Partners Of America, Llc

Nova Diagnostics Corp

Morris, Robert John