Provider Demographics
NPI:1275374811
Name:JAMA & G LLC
Entity type:Organization
Organization Name:JAMA & G LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZORAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVIRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-217-8555
Mailing Address - Street 1:520 NW 96TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6231
Mailing Address - Country:US
Mailing Address - Phone:786-217-8555
Mailing Address - Fax:
Practice Address - Street 1:1316 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-5723
Practice Address - Country:US
Practice Address - Phone:786-217-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental