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NPI 1740671064 · Addiction (Substance Use Disorder) Psychologist · Miami Lakes, FL
Provider details
- NPI number
- 1740671064
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Jeffrey Brazzle, President
Mailing address
5220 Nw 163rd St
Miami Lakes, FL 33014-6226
Registry dates
- Enumerated
- 2015-02-09
- Last updated
- 2021-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.