Organization
ADVANCED PRO BILLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BRAZZLE (PRESIDENT)
(954) 918-7303
Entity
Organization
Contact information
Practice address
5220 NW 163RD ST, MIAMI LAKES, FL 33014-6226
(954) 918-7303
Mailing address
5220 NW 163RD ST, MIAMI LAKES, FL 33014-6226
(954) 918-7303
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
07/22/2021
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