I.vizion | |
5220 Nw 163rd St Miami Lakes FL 33014-6226 | |
(786) 687-2420 | |
Not Available |
Full Name | I.vizion |
---|---|
Speciality | Internal Medicine - Addiction Medicine |
Location | 5220 Nw 163rd St, Miami Lakes, Florida |
Authorized Official Name and Position | Jeffrey Brazzle (PROVIDER RELATIONS MANAGER) |
Authorized Official Contact | 9549187303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
I.vizion 5220 Nw 163rd St Miami Lakes FL 33014-6226 Ph: (786) 687-2420 | I.vizion 5220 Nw 163rd St Miami Lakes FL 33014-6226 Ph: (786) 687-2420 |
NPI Number | 1174094361 |
---|---|
Provider Enumeration Date | 12/16/2018 |
Last Update Date | 07/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174094361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RA0401X | Internal Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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