Provider Demographics
NPI:1053190850
Name:FIGLIUOLO, MAYA ROSE
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:ROSE
Last Name:FIGLIUOLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-5654
Mailing Address - Country:US
Mailing Address - Phone:786-333-2755
Mailing Address - Fax:
Practice Address - Street 1:1234 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5654
Practice Address - Country:US
Practice Address - Phone:786-333-2755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health