Provider Demographics
NPI:1437825940
Name:ADVANCED PRO BILLING
Entity Type:Organization
Organization Name:ADVANCED PRO BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAZZLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-918-7303
Mailing Address - Street 1:6015 SW 33RD ST APT 203
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5158
Mailing Address - Country:US
Mailing Address - Phone:786-687-2420
Mailing Address - Fax:
Practice Address - Street 1:5220 NW 163RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6226
Practice Address - Country:US
Practice Address - Phone:786-687-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty