Healthcare Provider Details

I. General information

NPI: 1104747559
Provider Name (Legal Business Name): KARGIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7975 NW 154TH ST STE 390
MIAMI LAKES FL
33016-5867
US

IV. Provider business mailing address

7975 NW 154TH ST STE 390
MIAMI LAKES FL
33016-5867
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-4305
  • Fax:
Mailing address:
  • Phone: 305-303-4305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GISELLE OJEDA
Title or Position: OWNER
Credential: DPM
Phone: 305-303-4305