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JUVENICE PROFESSIONAL CENTER CORP NPI 1780827055


NPI Information

NPI: 1780827055
Provider Name: JUVENICE PROFESSIONAL CENTER CORP
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
8567 CORAL WAY
SUITE 112
MIAMI, FL
ZIP 33155
Phone: (305) 910-9170
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JUVENICE PROFESSIONAL CENTER CORP is a preferred provider organization in Miami, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. JUVENICE PROFESSIONAL CENTER CORP NPI is 1780827055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8567 CORAL WAY
SUITE 112
MIAMI, FL
ZIP 33155-335
Phone: (305) 910-9170
Fax: (305) 513-5189

The provider's authorized official is Luis Chediak .
The authorized official title is President and has the following contact phone number (305) 910-9170.

The enumeration date for this NPI number is 4/15/2009 and was last updated on 5/25/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicinePT19963FLORIDANo
2305R00000XPreferred Provider OrganizationME61828FLORIDAYes

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: 11/14/2023

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.