Individual provider Active NPI

Juan Pablo Pedroza Figueroa, APRN

  • Family Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1750170999
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038974 Issued in FL
Practice address
212 S Dixie Dr
Haines City, FL 33844-2801
Phone
(863) 547-0788
Fax
(863) 547-0789
NPI assigned
May 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038974 FL Primary

Addresses

Primary practice location

212 S Dixie Dr
Haines City, FL 33844-2801

Mailing address

8297 Champions Gate Blvd # 463
Champions Gate, FL 33896-8387
Phone (863) 547-0788

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528003518 FL Practitioner - Nurse Practitioner 7113446550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Neuro Pain Institute PAGroup PAC ID 6103153416, 3 clinicians

Practice addresses (Care Compare)

212 S Dixie Dr
Haines City, FL 33844-2801
Phone (863) 547-0788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11038974FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Neuro Pain Institute PA CurrentSince May 5, 2025 Accepting new patients

Locations

8297 Champions Gate Blvd
Champions Gate, FL 33896
Phone (206) 588-5251

2217 North Blvd W
Ste B
Davenport, FL 33837
Phone (863) 547-0788

212 S Dixie Dr
Haines City, FL 33844
Phone (863) 547-0788

5979 Vineland Rd
Ste 207
Orlando, FL 32819
Phone (407) 345-0065

5979 Vineland Rd
Ste 114
Orlando, FL 32819
Phone (407) 237-0907

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1750170999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD # 463",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S DIXIE DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338442801",
            "telephone_number": "863-547-0788",
            "fax_number": "863-547-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA FIGUEROA",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.