MEDICARE: MRS. KATERINE INSUASTI A-GNP-C

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	363LP2300X	Primary Care Nurse Practitioner	11021760	FL

General Provider Information

NPI Number	:	1780305615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATERINE INSUASTI A-GNP-C

Provider Business Mailing Address
First Line	:	8000 SW 117TH AVE STE 205
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4809
Country	:	US
Telephone Number	:	786-755-2674
Fax Number	:	305-273-9900

Provider Business Practice Location Address
First Line	:	14065 TOWN LOOP BLVD STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6199
Country	:	US
Telephone Number	:	407-735-2114
Fax Number	:	407-735-2126

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

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/04/2025

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