=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780305615
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATERINE INSUASTI A-GNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2022
-----------------------------------------------------
Last Update Date | 09/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14065 TOWN LOOP BLVD STE 300
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32837-6199
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-735-2114
-----------------------------------------------------
Fax | 407-735-2126
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8000 SW 117TH AVE STE 205
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-4809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-755-2674
-----------------------------------------------------
Fax | 305-273-9900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | 11021760
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------