Organization
J & G MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAISON CHAKKAPPAN ARNP (PRESIDENT)
(914) 602-6209
Entity
Organization
Contact information
Practice address
8958 W STATE ROAD 84 STE 342, DAVIE, FL 33324-4457
(914) 602-6209
(954) 357-1175
Mailing address
8958 W STATE ROAD 84 STE 342, DAVIE, FL 33324-4457
(914) 602-6209
(954) 357-1175
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/29/2014
Last updated
08/17/2021
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