| Entity Name: | FLAVIA A INESTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jul 1999 (26 years ago) |
| Document Number: | P99000067631 |
| FEI/EIN Number | 650939139 |
| Address: | 515 SW 17TH AVENUE, MIAMI, FL, 33135, US |
| Mail Address: | 360 SW 18th terrace, MIAMI, FL, 33129, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679789747 | 2007-05-15 | 2009-02-10 | 1797 SW 3RD AVE, MIAMI, FL, 331291492, US | 1797 SW 3RD AVE, MIAMI, FL, 331291492, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-856-4454 |
Authorized person
| Name | FLAVIA A INESTA |
| Role | PRESIDENT |
| Phone | 3058564454 |
Taxonomy
| Taxonomy Code | 213ES0103X - Foot & Ankle Surgery Podiatrist |
| License Number | PO2720 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 390411302 |
| State | FL |
| Issuer | BCBS |
| Number | 65567 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INESTA FLAVIA A | Agent | 360 SW 18TH TERRACE, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| INESTA FLAVIA A | President | 360 SW 18TH TERRACE, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| INESTA FLAVIA A | Secretary | 360 SW 18TH TERRACE, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| INESTA FLAVIA A | Director | 360 SW 18TH TERRACE, MIAMI, FL, 33129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-23 | 515 SW 17TH AVENUE, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-30 | 515 SW 17TH AVENUE, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-05-15 | 360 SW 18TH TERRACE, MIAMI, FL 33129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
