Provider Demographics
NPI:1558110197
Name:ANJEZA MUSIC
Entity type:Organization
Organization Name:ANJEZA MUSIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANJEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-256-6995
Mailing Address - Street 1:13541 SW 182ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7127
Mailing Address - Country:US
Mailing Address - Phone:818-256-6995
Mailing Address - Fax:
Practice Address - Street 1:13541 SW 182ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-7127
Practice Address - Country:US
Practice Address - Phone:818-256-6995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health