Organization
GOJI GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ANTONIO OTAYEK (CFO)
(786) 440-9002
Entity
Organization
Contact information
Practice address
14394 COMMERCE WAY, MIAMI LAKES, FL 33016-1501
(786) 755-7428
(786) 755-7426
Mailing address
14394 COMMERCE WAY, MIAMI LAKES, FL 33016-1501
(786) 755-7428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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