Juvensa LLC

NPI #1043900798 in Doral, Florida

Provider Information

NPI Number: 1043900798
Entity Type: Organization
Organization Name: Juvensa LLC
Primary Specialty: Family Medicine
Enumeration Date: May 8, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 2500 NW 79TH AVE STE 265
City: Doral
State: Florida
ZIP Code: 33122-1088
Phone: (786) 504-4626

Authorized Official

Name: ANNEYD AVALOS PENA
Title: OWNER
Phone: (786) 925-3143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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