Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evanescence Inc

Organization Vascular Surgery Physician · NPI 1780628107

Evanescence Inc is a Vascular Surgery Physician in Kendall, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11760 Bird Rd Ste 710
Kendall, FL 33165
Phone: (305) 598-8222
Fax: (305) 554-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence ME 29633 (FL)

Record details

NPI number1780628107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo Leon — Medical Director · (305) 598-8222
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 10, 2007
Mailing address7100 Pines Blvd, Suite 23, Pembroke Pines, FL 33024-7355

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