Organization · NPI-2
1vizion Group
Orthopaedic Surgery, Foot and Ankle Surgery · Hollywood, FL
NPI number1740113463
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1740113463
- Entity type
- Organization (NPI-2)
- Legal business name
- 1vizion Group
- Organization subpart
- No
- Enumeration date
- Jun 3, 2026
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | – | – | Yes |
| 111N00000X | Chiropractor | – | – |
Practice location
2843 Fillmore St Apt 102Hollywood, FL 33020-4252
Phone 786-687-2420
Mailing address
2843 Fillmore St Apt 102Hollywood, FL 33020-4252
Phone 786-687-2420
Authorized official
Jeffrey Brazzle
Director
7866872420
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