Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juvenice Professional Center Corp

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1780827055

Juvenice Professional Center Corp is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8567 Coral Way Ste 112
Miami, FL 33155-2335
Phone: (305) 910-9170
Fax: (305) 513-5189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence ME61828 (FL)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence PT19963 (FL)

Record details

NPI number1780827055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Chediak — President · (305) 910-9170
NPI enumeratedApril 15, 2009
Last updated in NPPESMay 25, 2009
Mailing address8567 Coral Way, Suite 112, Miami, FL 33155-2335

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