Eduardo Jusino MD LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME127978 Issued in FL

Legal business name

EDUARDO JUSINO MD LLC

Practice address

3918 Via Poinciana Ste 8
Lake Worth, FL 33467-2991

Phone

(561) 568-6463

Fax

(866) 726-9519

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Eduardo Jusino, MDNPI 1730479387

Title

Owner

Phone

(787) 457-1713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Eduardo Jose Jusino, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lake Worth, FL
  • NPI 1730479387
  Medicare reassignment Authorized official
• Magalita Deronvil Sauveur

  • Nurse Practitioner
  • Atlantis, FL
  • NPI 1497431340
  Medicare reassignment NPD
• Rose Fernande Toussaint, ARNP

  • Nurse Practitioner
  • Lake Worth, FL
  • NPI 1760966428
  Medicare reassignment NPD

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1851898936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 LAKE WORTH RD # 16-235",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672300",
            "telephone_number": "787-457-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA STE 8",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-568-6463",
            "fax_number": "866-726-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO JUSINO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "JUSINO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-457-1713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME127978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.