MEDICARE: MAKEIA KESHON MARTIN

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	343900000X	Non-emergency Medical Transport (VAN)	L26000095549	FL

General Provider Information

NPI Number	:	1538003215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKEIA KESHON MARTIN

Provider Business Mailing Address
First Line	:	1412 N 21ST ST
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9119
Country	:	US
Telephone Number	:	407-721-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 N 21ST ST
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-9119
Country	:	US
Telephone Number	:	407-721-6989
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ MAKEIA KESHON MARTIN ” Practice Location

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