Blake Evan Martin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9121480 Issued in FL

Practice address

16915 NW 83Rd CT
Miami Lakes, FL 33016-6192

Phone

(786) 973-0502

NPI assigned

Feb 19, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1124971064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16915 NW 83RD CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166192",
            "telephone_number": "786-973-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 NW 83RD CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166192",
            "telephone_number": "786-973-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BLAKE",
        "middle_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivett Aleida Martell, B.S, M.S
• Aymee Marti-Parra, APRN
• Martin N Glaser DMD PA
• Adolfo Martin, PTA
• Angelica Martin
• Diana Martin
• Maday Martin
• Lina Martinez Acosta, MSN, APRN, FNP-C
• Misladys Martinez Bernal
• Yudelkis Martinez Capote

• Physician Assistant in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.