Goji Group Llc | |
14394 Commerce Way Miami Lakes FL 33016-1501 | |
(786) 755-7428 | |
(786) 755-7426 |
Full Name | Goji Group Llc |
---|---|
Speciality | Family Medicine |
Location | 14394 Commerce Way, Miami Lakes, Florida |
Authorized Official Name and Position | Daniel Antonio Otayek (CFO) |
Authorized Official Contact | 7864409002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Goji Group Llc 14394 Commerce Way Miami Lakes FL 33016-1501 Ph: (786) 755-7428 | Goji Group Llc 14394 Commerce Way Miami Lakes FL 33016-1501 Ph: (786) 755-7428 |
NPI Number | 1083214142 |
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Provider Enumeration Date | 10/28/2020 |
Last Update Date | 10/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083214142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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