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

Juvenis Medical LLC

Organization Licensed Practical Nurse · NPI 1154043412

Juvenis Medical LLC is a Licensed Practical Nurse in Fort Lauderdale, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609
Phone: (954) 494-3711
Fax: (954) 776-9953
Show map & directions

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

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X
Licensed Practical Nurse Taxonomy 164W00000X

Record details

NPI number1154043412
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Goodkin — Ceo · (954) 494-3711
NPI enumeratedSeptember 14, 2022
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address4750 N Federal Hwy Ste 203, Fort Lauderdale, FL 33308-4609

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