OrganizationActive
Juvenis Medical LLC
NPI 1154043412 · Medical Specialty Clinic/Center · Fort Lauderdale, FL
Provider details
- NPI number
- 1154043412
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Goodkin, Ceo(954) 494-3711
Specialties & taxonomies
Ambulatory Health Care Facilities
- Licensed Practical Nurse164W00000X
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609
Phone: (954) 494-3711
Fax: (954) 776-9953
Street-level locationGet directions
Mailing address
4750 N Federal Hwy Ste 203
Fort Lauderdale, FL 33308-4609
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.