Active NPI
Juvenation, LLC
- Plastic Surgery Physician
- Aventura, FL
National Provider Identifier
1356764864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- OS11955
- Legal business name
- JUVENATION, LLC
- Practice address
- 18205 Biscayne Blvd
Ste 100
Aventura, FL 33160-2106 - Phone
- (305) 901-0911
- Fax
- (305) 947-0752
- NPI assigned
- Feb 4, 2014
- Last updated
- Feb 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James S McAdoo, DO
- Title
- President
- Phone
- (815) 395-8313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | OS11955 | FL | Primary |
Addresses
Primary practice location
18205 Biscayne Blvd
Ste 100
Aventura, FL 33160-2106
Mailing address
6785 Weaver Rd
Ste D
Rockford, IL 61114-8055
Phone (815) 633-8586
National Provider Directory
National Provider DirectoryLocations
8099 S Dixie Hwy
Miami, FL 33143
Phone (305) 901-9010
10870 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 256-1678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1356764864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6785 WEAVER RD",
"address_2": "STE D",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611148055",
"telephone_number": "815-633-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18205 BISCAYNE BLVD",
"address_2": "STE 100",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602106",
"telephone_number": "305-901-0911",
"fax_number": "305-947-0752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUVENATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "MCADOO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-395-8313",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "OS11955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.