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NPI 1992633358

NPI 1992633358 : KAYEMED LLC : DAVENPORT, FL

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General NPI Number Information
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    NPI Number           |    1992633358
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAYEMED LLC 
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Dates
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    Enumeration Date     |    05/13/2026
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    Last Update Date     |    05/13/2026
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Provider Practice Location Address
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    Address Line         |    253 GRAND RESERVE DR 
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    City                 |    DAVENPORT
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    State                |    FL
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    Zip                  |    33837-5204
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    Country              |    US
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    Telephone            |    321-420-7117
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    Fax                  |    407-537-6100
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Provider Business Mailing Address
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    Address Line         |    8297 CHAMPIONS GATE BLVD STE 315 
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    City                 |    CHAMPIONS GATE
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    State                |    FL
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    Zip                  |    33896-8387
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    Country              |    US
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    Telephone            |    321-420-7117
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    Fax                  |    407-537-6100
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KAREEN KAYE EVANS 
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    Credential           |    FNP-C
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    Telephone            |    321-420-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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