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Shandra N Figueroa

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

83 W Miller St, Orlando, FL 32806-2031

PECOS Enrollment

This provider is enrolled in PECOS as SHANDRA FIGUEROA.

Based on the most recent information from CMS, provider Shandra N Figueroa is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1316594070
Provider Type
Individual
Full Name
Figueroa, Shandra N
Title
Mrs.
Credential
APRN FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/19/2019
Last Updated
8/19/2019

Contact Information

Practice Location

83 W Miller St, Orlando, FL 32806-2031

(321) 841-5111

Unlisted Fax

Mailing Location

1838 Duffy Ct, Lake Mary, FL 32746-6260

(352) 988-3073

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11003687 Florida

Shandra N Figueroa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Castaneda, Legna Mary

Johnson, Latrencia T

Franklin, Christina M

Gardner, Devannah Victoria

Majoy, Sarah Borsick

Mullis-Ingram, Angela

Cooper, Lesley Allen

Heavey, Nicole

St Vry, Venette

Monserrate, Chelsea