| Dr Blake Joseph Evans, MD | |
|
1725 N University Dr Ste 400, Coral Springs, FL 33071-6053 | |
| (954) 752-3166 | |
| (954) 753-5628 |
| Full Name | Dr Blake Joseph Evans |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1725 N University Dr Ste 400, Coral Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093971467 | NPI | - | NPPES |
| 368241 | Other | FL | AVMED |
| P1011066 | Other | FL | FREEDOM HEALTH |
| 009591500 | Medicaid | FL | |
| P01230859 | Other | FL | RAILROAD MCR |
| 7735843 | Other | FL | CIGNA |
| 1193019 | Other | FL | WELLCARE |
| 14RS8 | Other | FL | BCBS OF FL |
| 4955788 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME117404 (Florida) | Primary |
| Entity Name | Genesiscare Usa Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake Joseph Evans, MD 1725 N University Dr Ste 400, Coral Springs, FL 33071-6053 Ph: (954) 752-3166 | Dr Blake Joseph Evans, MD 1725 N University Dr Ste 400, Coral Springs, FL 33071-6053 Ph: (954) 752-3166 |
Igor Inoyatov, MD Urology Medicare: Medicare Enrolled Practice Location: 5850 Coral Ridge Dr Ste 106, Coral Springs, FL 33076 Phone: 954-714-8200 Fax: 954-840-2626 | |
Belinda Febles, PA-C Urology Medicare: Medicare Enrolled Practice Location: 5850 Coral Ridge Dr Ste 106, Coral Springs, FL 33076 Phone: 954-714-8200 Fax: 954-840-2626 | |
Laurel Anne Sofer, MD. Urology Medicare: Accepting Medicare Assignments Practice Location: 5850 Coral Ridge Dr Ste 106, Coral Springs, FL 33076 Phone: 954-714-8200 Fax: 954-840-2626 | |
Dr. Nasheer Azeem Sachedina, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1670 N University Dr, Suite A, Coral Springs, FL 33071 Phone: 954-227-6747 Fax: 954-227-6783 | |
Dr. Mini Varghese, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076 Phone: 954-714-8200 Fax: 954-840-2626 | |
Christopher Philip Hollowell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5850 Coral Ridge Dr, Suite 106, Coral Springs, FL 33076 Phone: 954-714-8200 Fax: 954-840-2626 |