Martin, Blake Evan

Martin, Blake Evan is an individual health care provider with primary practice located at 16915 Nw 83Rd Ct , Miami Lakes FL 33016-6192. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Blake Evan can be contacted via phone (786) 973-0502.

Contact Information

Primary practice address
16915 Nw 83Rd Ct Miami Lakes FL 33016-6192
Phone: (786) 973-0502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9121480 Florida

Profile Details

NPI number 1124971064
LBN Legal business name Martin, Blake Evan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2026
Last updated Jul 19th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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