Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Evanescence Inc

Organization Vascular Surgery Physician · NPI 1780628107

Evanescence Inc provides Vascular Surgery Physician services 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 Not confirmed with CMS for 19 years — call before visiting
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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