OrganizationActive
Evanescence Inc
NPI 1780628107 · Vascular Surgery Physician · Kendall, FL
Provider details
- NPI number
- 1780628107
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gustavo Leon, Medical Director(305) 598-8222
- License
- ME 29633 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11760 Bird Road
Suite 710
Kendall, FL 33165
Phone: (305) 598-8222
Fax: (305) 554-0616
Approximate (ZIP-level) locationGet directions
Mailing address
7100 Pines Blvd
Pembroke Pines, FL 33024-7355
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2007-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.