National Provider Identifier Database

JUVENICE PROFESSIONAL CENTER CORP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

JUVENICE PROFESSIONAL CENTER CORP
8567 CORAL WAY
SUITE 112
MIAMI, FL33155-2335
Phone: 305-910-9170
Fax: 305-513-5189
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Sports Medicine 2081S0010X

* Indicates primary specialty

NPI Profile & details for JUVENICE PROFESSIONAL CENTER CORP

NPI Number 1780827055
Legal business name
LBN
JUVENICE PROFESSIONAL CENTER CORP
Authorized official LUIS CHEDIAK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/15/2009
Last updated 05/25/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME61828
  • FL License #: PT19963

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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