Juvenis Medical LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JUVENIS MEDICAL LLC

Practice address

4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609

Phone

(954) 494-3711

Fax

(954) 776-9953

NPI assigned

Sep 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul GoodkinNPI 1083750665

Title

Ceo

Phone

(954) 494-3711

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Scott Goodkin, D.C.

  • Chiropractor
  • Oakland Park, FL
  • NPI 1083750665
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1154043412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-494-3711",
            "fax_number": "954-776-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N FEDERAL HWY STE 203",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084609",
            "telephone_number": "954-494-3711",
            "fax_number": "954-776-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENIS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "GOODKIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-494-3711"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juro Med Supply LLC
• Andre Juste
• Marie Juste
• Alexander G Justicz, MD
• Justin Yovino MD PA
• JW Vascular PA
• Amir Hossein Kaboodrangi, MD, MS, MPH
• Stacey Kaciuban, M.D.
• Timur Kadirov, APRN
• Lorena Kaelber, CNM

• Medical Specialty Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.