Individual provider · Type 1 NPI

Blake Evan Martin, PA-C

Physician Assistant · Miami Lakes, FL

NPI number 1124971064 Active

Practice location

16915 NW 83rd Ct
Miami Lakes, FL 33016-6192

Call (786) 973-0502 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9121480 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124971064

Blake Evan Martin, PA-C's National Provider Identifier is 1124971064, issued on Feb 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Miami Lakes, FL. The record was last updated on Jul 19, 2026.