MEDICARE: MAJAKA HEALING AND EDUCATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1821787672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJAKA HEALING AND EDUCATION LLC

Provider Business Mailing Address
First Line	:	1032 SIENA OAKS CIR W
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5122
Country	:	US
Telephone Number	:	561-507-0174
Fax Number	:

Provider Business Practice Location Address
First Line	:	1032 SIENA OAKS CIR W
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-5122
Country	:	US
Telephone Number	:	561-507-0174
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY BROWN
Credential	:
Telephone Number	:	561-507-0174

Provider Enumeration Date	:	05/05/2023
Last Update Date	:	05/05/2023

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