Active NPI
Keishla Marco, APRN
- Family Nurse Practitioner
- Haines City, FL
National Provider Identifier
1538049325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11042000
- Practice address
- 33044 US Hwy 27 N
Haines City, FL 33844-7621 - Phone
- (863) 422-4977
- Fax
- (833) 450-4573
- NPI assigned
- Sep 3, 2025
- Last updated
- Oct 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11042000 | FL | Primary |
Addresses
Primary practice location
33044 US Hwy 27 N
Haines City, FL 33844-7621
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 635-2190
Other practice location 1
826 San Pedro Ct
Kissimmee, FL 34758-4014
Phone (787) 667-5184
Other practice location 2
105 S Dixie Dr
Haines City, FL 33844-2844
Phone (863) 421-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11042000 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1538049325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "321-635-2190",
"fax_number": "689-304-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33044 US HWY 27 N",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338447621",
"telephone_number": "863-422-4977",
"fax_number": "833-450-4573"
}
],
"practiceLocations": [
{
"address_1": "826 San Pedro Ct",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347584014",
"country_code": "US",
"telephone_number": "787-667-5184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 S Dixie Dr",
"address_purpose": "LOCATION",
"city": "Haines City",
"state": "FL",
"postal_code": "338442844",
"country_code": "US",
"telephone_number": "863-421-1190",
"fax_number": "833-450-5402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCO",
"first_name": "KEISHLA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11042000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.