Individual
DR. BLAKE JOSEPH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 N UNIVERSITY DR STE 400, CORAL SPRINGS, FL 33071-6053
(954) 752-3166
(954) 753-5628
Mailing address
1725 N UNIVERSITY DR STE 400, CORAL SPRINGS, FL 33071-6053
(954) 752-3166
(954) 753-5628
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME117404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009591500
—
FL
01
—
1193019
WELLCARE
FL
01
—
14RS8
BCBS OF FL
FL
01
—
368241
AVMED
FL
01
—
4955788
AETNA
FL
01
—
7735843
CIGNA
FL
01
—
P01230859
RAILROAD MCR
FL
01
—
P1011066
FREEDOM HEALTH
FL
Enumeration date
08/05/2008
Last updated
09/16/2022
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