Basic Information
Provider Information
NPI: 1154962058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA-DAILY
FirstName: DAYCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2912 NOAH CIR
Address2:  
City: SAINT CLOUD
State: FL
PostalCode: 347728524
CountryCode: US
TelephoneNumber: 3214432524
FaxNumber:  
Practice Location
Address1: 1705 JESS PARRISH CT
Address2:  
City: TITUSVILLE
State: FL
PostalCode: 327962158
CountryCode: US
TelephoneNumber: 3212695720
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/01/2019
LastUpdateDate: 09/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000XSZ9373FLN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000XSA18349FLY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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