MEDICARE: NESTOR JOAQUIN JAVECH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME41274	FL

General Provider Information

NPI Number	:	1760400725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NESTOR JOAQUIN JAVECH MD

Provider Business Mailing Address
First Line	:	PO BOX 3123
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3123
Country	:	US
Telephone Number	:	904-824-4990
Fax Number	:	904-824-2226

Provider Business Practice Location Address
First Line	:	815 NW 57TH AVE STE 202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2041
Country	:	US
Telephone Number	:	305-904-8988
Fax Number	:	305-615-1651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	05/07/2024

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