Maryam Brazdo is a Dentist in Melbourne, Florida. Maryam Brazdo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Maryam Brazdo is 1265694236. The last update date is 2012-03-21.
Maryam Brazdo's current location address is 1061 S Wickham Rd, Melbourne, Florida. You can contact this provider via phone number 3217220155. The mailing address for Maryam Brazdo is 1061 S Wickham Rd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryam Brazdo |
|---|---|
| Address | 1061 S Wickham Rd, Melbourne, Florida |
| Phone Number | 3217220155 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1265694236 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2012-03-21 |
Provider Mailing Address Detail
| Address | 1061 S Wickham Rd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329041652 |
| Phone Number | 3217220155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN18392 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Maryam Brazdo by the Centers for Medicare & Medicaid Services?
The Maryam Brazdo has been issued the NPI (National Provider Identifier) 1265694236 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Maryam Brazdo?
The Maryam Brazdo is situated at 1061 S Wickham Rd, in the city of Melbourne, state of FL, with the zip code 329041652.
What is Maryam Brazdo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maryam Brazdo is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Maryam Brazdo receive the assignment of its 1265694236 from the Centers for Medicare & Medicaid Services?
The Maryam Brazdo was issued its 1265694236 by the Centers for Medicare & Medicaid Services on 2008-06-30.
When was the information regarding Maryam Brazdo most recently updated?
The details pertaining to the Maryam Brazdo, including its address, specialty, and other relevant information, were last refreshed on 2012-03-21.