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Juvenis Medical LLC

Medical Specialty Clinic/Center in Fort Lauderdale, FL · enumerated 2022 · authorized official Paul Goodkin, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154043412

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Registry record

Entity type Organization (Type 2)
Legal business name Juvenis Medical LLC
Practice address 4750 N Federal Hwy Ste 203, Fort Lauderdale, FL, 33308
Fax (954) 776-9953
Enumeration date Sep 14, 2022
Last updated in NPPES Sep 14, 2022

Taxonomy & classification

164W00000X Licensed Practical Nurse Nursing Service Providers Secondary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Paul Goodkin
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Juvenis Medical LLC?
Juvenis Medical LLC is registered in NPPES as a Medical Specialty Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-14.