Provider Demographics
NPI:1114890928
Name:MARTINEZ /BAPTISTE, MELVIN ROBERTO
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:ROBERTO
Last Name:MARTINEZ /BAPTISTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:QUICKLEE LLC
Other - Middle Name:
Other - Last Name:QUICKLEE LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11250 CRESCENT DEER DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6238
Mailing Address - Country:US
Mailing Address - Phone:813-494-4975
Mailing Address - Fax:
Practice Address - Street 1:11250 CRESCENT DEER DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-6238
Practice Address - Country:US
Practice Address - Phone:813-494-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLUPR87332B00000X
LUPR87343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)