JUVENIS MEDICAL LLC
NPI 1154043412
Clinic/Center - Medical Specialty in Fort Lauderdale, FL

Active since September 14, 2022
4750 N FEDERAL HWY STE 203, FORT LAUDERDALE, FL 33308(954) 494-3711(954) 776-9953 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juvenis Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUVENIS MEDICAL LLC (NPI 1154043412) is a healthcare organization registered as a medical specialty in Fort Lauderdale, Florida and active in the NPI registry since September 2022. The organization lists Paul Goodkin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154043412
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJUVENIS MEDICAL LLC
Location Address4750 N FEDERAL HWY STE 203Fort Lauderdale, FL 33308-4609
Mailing Address4750 N Federal Hwy Ste 203Fort Lauderdale, FL 33308-4609 · (954) 494-3711 · Fax (954) 776-9953
Fax(954) 776-9953
Organization SubpartNo
Authorized OfficialPaul GoodkinCeo · (954) 494-3711
Enumeration DateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
NPI 1154043412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
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).
Also ListedLicensed Practical NurseTaxonomy 164W00000X
4750 N FEDERAL HWY STE 203, Fort Lauderdale, FL 33308

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4750 N FEDERAL HWY STE 203
FORT LAUDERDALE, FL 33308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juvenis Medical LLC's NPI number?

The NPI number for Juvenis Medical LLC is 1154043412. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Juvenis Medical LLC located?

Juvenis Medical LLC is located at 4750 N Federal Hwy Ste 203, Fort Lauderdale, FL 33308. The listed phone number is (954) 494-3711.

What is Juvenis Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Juvenis Medical LLC was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.