MAXWELL CHARLES LOGAN BRAZER

MIAMI, FL
NPI1356053961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-12-15
Last Update Date2022-12-15
Business Address
MAXWELL CHARLES LOGAN BRAZER
7530 SUNSET DR
MIAMI, FL 33143-4132
Phone number: 305-271-8790
Mailing Address
MAXWELL CHARLES LOGAN BRAZER
7530 SUNSET DR
MIAMI, FL 33143-4132
Phone number: 305-271-8790