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Organization

VIMAMB LLC

Active
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Organization

VIMAMB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF BRAZZLE CPC (DIRECTOR OF BILLING)
(786) 687-2420
Entity
Organization

Contact information

Practice address
5657 HAMPTON PARK CIR, VERO BEACH, FL 32966-2221
(786) 687-2420
Mailing address
2843 FILLMORE ST APT 102, HOLLYWOOD, FL 33020-4252
(786) 687-2420

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—

Other

Enumeration date
08/26/2026
Last updated
08/26/2026
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