EVANESCENCE INC – NPI #1780628107
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

EVANESCENCE INC is a surgeon located in KENDALL, FL. NPPES has assigned the NPI number 1780628107 to EVANESCENCE INC on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 19 years ago on Jul 10, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVANESCENCE INC below.

NPI Profile for
EVANESCENCE INC

NPI Number
1780628107
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVANESCENCE INC
Primary location
11760 BIRD ROAD
SUITE 710
KENDALL, FL 33165
Phone: (305) 598-8222 Fax: (305) 554-0616
Mailing address
7100 PINES BLVD
SUITE 23
PEMBROKE PINES, FL 33024-7355
Phone: (954) 967-0107 Fax: (954) 967-0109
Organization Subpart
No
Authorized Official
GUSTAVO LEON
MEDICAL DIRECTOR
Phone: (305) 598-8222
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 FL ME 29633

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.