MEDICARE: ESKEILA MARTIN PA

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	363A00000X	Physician Assistant	PA9120379	FL

General Provider Information

NPI Number	:	1912895897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESKEILA MARTIN PA

Provider Business Mailing Address
First Line	:	2879 N NARCOOSSEE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8781
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2879 N NARCOOSSEE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8781
Country	:	US
Telephone Number	:	954-418-1683
Fax Number	:

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

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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Directions to “ ESKEILA MARTIN PA” Practice Location

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