MEDICARE: KAYEMED LLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1992633358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAYEMED LLC

Provider Business Mailing Address
First Line	:	8297 CHAMPIONS GATE BLVD STE 315
Second Line	:
City	:	CHAMPIONS GATE
State	:	FL
Zip	:	33896-8387
Country	:	US
Telephone Number	:	321-420-7117
Fax Number	:	407-537-6100

Provider Business Practice Location Address
First Line	:	253 GRAND RESERVE DR
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-5204
Country	:	US
Telephone Number	:	321-420-7117
Fax Number	:	407-537-6100

Authorized Official
Title or Position	:	OWNER
Name	:	KAREEN KAYE EVANS
Credential	:	FNP-C
Telephone Number	:	321-420-7117

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “KAYEMED LLC ” Practice Location

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