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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JUVENICE PROFESSIONAL CENTER CORP

NPI Number 1780827055
LBN Legal business name JUVENICE PROFESSIONAL CENTER CORP
Authorized official LUIS CHEDIAK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2009
Last updated 05/25/2009 - About 17 years ago
Identifiers
FL License # ME61828
FL License # PT19963
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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