Organization Active NPI

I.Vizion

  • Addiction Medicine (Internal Medicine) Physician
  • Miami Lakes, FL
National Provider Identifier
1174094361
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
I.VIZION
Practice address
5220 NW 163Rd St
Miami Lakes, FL 33014-6226
Phone
(786) 687-2420
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Brazzle
Title
Provider Relations Manager
Phone
(954) 918-7303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

5220 NW 163Rd St
Miami Lakes, FL 33014-6226

Mailing address

5220 NW 163Rd St
Miami Lakes, FL 33014-6226
Phone (786) 687-2420

National Provider Directory

National Provider Directory

Locations

7341 NW 32nd Ave
Miami, FL 33147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1174094361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NW 163RD ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146226",
            "telephone_number": "786-687-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NW 163RD ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146226",
            "telephone_number": "786-687-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.VIZION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BRAZZLE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "954-918-7303"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.