Individual provider Active NPI

Jeannette Marie Figueroa-Gordian, MD

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1003979006
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN480 Issued in FL
Practice address
4700 N Habana Ave Ste 101
Tampa, FL 33614-7116
Phone
(813) 444-9599
Fax
(813) 513-8210
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14424 PR
General Practice Physician 208D00000X ACN480 FL Primary

Addresses

Primary practice location

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

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Other identifiers 2

IdentifierTypeStateIssuer
ACN480OtherFLMEDICAL LICENCE
14424OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131121000095 FL Practitioner - General Practice 8628982204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14424PRMDSocial Worker

Practice roles (5 of 11)

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Nov 1, 2020 Accepting new patients
Medical Home Alliance LLC Past Accepting new patients
Pricare Medical Services PSC Past Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients
Best Value Healthcare LLC PastSince Jun 27, 2021 Accepting new patients

Locations

1783 S Kings Ave
Brandon, FL 33511
Phone (813) 315-9896

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

9375 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 577-1722

6637 49th St N
Pinellas Park, FL 33781
Phone (727) 502-0052

603 7th St S
Ste 590
St Petersburg, FL 33701
Phone (727) 322-4228

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • FL PPO
  • FL HMO D-SNP
  • Optimum HealthCare HMO Network
  • FL HMO C-SNP
  • Freedom Health HMO Network
  • FL HMO

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLC 56 clinicians

Practice addresses (Care Compare)

603 7TH St S
Suite 590
Saint Petersburg, FL 33701-4729
Phone (727) 322-4228

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1003979006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147116",
            "telephone_number": "813-444-9599",
            "fax_number": "813-513-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-GORDIAN",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14424",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "ACN480",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14424",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.