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JUVENIS MEDICAL LLC NPI 1154043412


NPI Information

NPI: 1154043412
Provider Name: JUVENIS MEDICAL LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
4750 N FEDERAL HWY STE 203
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 494-3711
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JUVENIS MEDICAL LLC is a medical specialty clinic center in Fort Lauderdale, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JUVENIS MEDICAL LLC NPI is 1154043412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4750 N FEDERAL HWY STE 203
FORT LAUDERDALE, FL
ZIP 33308-609
Phone: (954) 494-3711
Fax: (954) 776-9953

The provider's authorized official is Paul Goodkin .
The authorized official title is Ceo and has the following contact phone number (954) 494-3711.

The enumeration date for this NPI number is 9/14/2022 and was last updated on 9/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseNo
2261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.