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1356053961
MAXWELL CHARLES LOGAN BRAZER
MIAMI, FL
NPI
1356053961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
MAXWELL CHARLES LOGAN BRAZER
7530 SUNSET DR
MIAMI, FL 33143-4132
Phone number: 305-271-8790
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Mailing Address
MAXWELL CHARLES LOGAN BRAZER
7530 SUNSET DR
MIAMI, FL 33143-4132
Phone number: 305-271-8790
Copy
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