Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BLAKE EVAN MARTIN PA-C
NPI 1124971064
Physician Assistant in Miami Lakes, FL

Active since February 19, 2026
16915 NW 83RD CT, MIAMI LAKES, FL 33016(786) 973-0502 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Evan Martin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE EVAN MARTIN PA-C (NPI 1124971064) is an individual physician assistant in Miami Lakes, Florida, licensed in Florida (PA9121480) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124971064
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBLAKE EVAN MARTINCredential: PA-C
Location Address16915 NW 83RD CTMiami Lakes, FL 33016-6192
Mailing Address16915 Nw 83rd CtMiami Lakes, FL 33016-6192 · (786) 973-0502
Sole ProprietorNo
Enumeration DateFebruary 19, 2026
Last NPPES UpdateJuly 19, 2026
NPPES CertifiedJuly 19, 2026
NPI 1124971064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9121480
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

16915 NW 83RD CT, Miami Lakes, FL 33016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Martin's NPI number?

The NPI number for Blake Martin is 1124971064. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Blake Martin located?

Blake Martin practices at 16915 NW 83rd Ct, Miami Lakes, FL 33016. The listed phone number is (786) 973-0502.

What is Blake Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Blake Martin was last updated on July 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.