Organization
GJA INVESTMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA CHARNY (COO)
(818) 304-1628
Entity
Organization
Contact information
Practice address
4241 SW 106TH TER, DAVIE, FL 33328-2154
(954) 251-1869
Mailing address
4241 SW 106TH TER, DAVIE, FL 33328-2154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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