MEDICARE: DR. FLAVIA A. INESTA DPM

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	213ES0131X	Foot Surgery Podiatrist	PO 2720	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760456420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLAVIA A. INESTA DPM

Provider Business Mailing Address
First Line	:	360 SW 18TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1019
Country	:	US
Telephone Number	:	786-828-7221
Fax Number	:	786-828-7131

Provider Business Practice Location Address
First Line	:	1330 SW 22ND ST STE 311
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2945
Country	:	US
Telephone Number	:	786-828-7221
Fax Number	:	786-828-7131

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	01/28/2025

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