NPI 1437825940 · live from the CMS NPI Registry
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Psychiatry & Neurology, Psychiatry in Miami Lakes, FL. National Provider Identifier 1437825940, active.
NPI record
| NPI | 1437825940 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 5220 Nw 163rd St, Miami Lakes, FL 33014 |
| Practice phone | 786-687-2420 |
| Mailing address | 6015 Sw 33rd St Apt 203, Miramar, FL 33023 |
| Enumerated | August 17, 2021 |
| Last updated | August 17, 2021 |
| Authorized official | Jeffrey Brazzle, Practice Admin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.