Provider Demographics
NPI:1457196362
Name:FIGUEREDO GILBERT, ALBERT RAMON
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:RAMON
Last Name:FIGUEREDO GILBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NW 23RD AVE APT 1810
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475-6284
Mailing Address - Country:US
Mailing Address - Phone:352-537-5511
Mailing Address - Fax:
Practice Address - Street 1:3610 E FORT KING ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-1319
Practice Address - Country:US
Practice Address - Phone:352-421-5681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPPA763363AM0700X
PR002163-P.A.363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical