Maxwell Charles Logan Brazer

NPI #1356053961 in Miami, Florida

Provider Information

NPI Number: 1356053961
Entity Type: Individual
Name: Maxwell Charles Logan Brazer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 7530 SUNSET DR
City: Miami
State: Florida
ZIP Code: 33143-4132
Phone: (305) 271-8790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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