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EVANESCENCE INC
NPI 1780628107
Surgery - Vascular Surgery in Kendall, FL

Active since June 15, 2006
11760 BIRD ROAD, SUITE 710, KENDALL, FL 33165(305) 598-8222(305) 554-0616 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evanescence Inc NPPES

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

EVANESCENCE INC (NPI 1780628107) is a healthcare organization registered as a vascular surgery in Kendall, Florida and active in the NPI registry since June 2006. The organization lists Gustavo G Leon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1780628107
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameEVANESCENCE INC
Location Address11760 BIRD ROAD, SUITE 710Kendall, FL 33165
Mailing Address7100 Pines Blvd, Suite 23Pembroke Pines, FL 33024-7355 · (954) 967-0107 · Fax (954) 967-0109
Phone(305) 598-8222
Fax(305) 554-0616
Organization SubpartNo
Authorized OfficialGustavo G LeonMedical Director · (305) 598-8222
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 10, 2007
✔ NPI 1780628107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in FL · ME 29633
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
11760 BIRD ROAD, Kendall, FL 33165
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Other Identifiers 1

Medicare ID-Type UnspecifiedK8956FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Evanescence Inc's NPI number?

The NPI number for Evanescence Inc is 1780628107. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Evanescence Inc located?

Evanescence Inc is located at 11760 Bird Road Suite 710, Kendall, FL 33165. The listed phone number is (305) 598-8222.

What is Evanescence Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Evanescence Inc was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.