NPI 1043900798

Juvensa LLC

Organisation Family Medicine Physician Doral, FL

Practice location

Address: 2500 NW 79th Ave STE 265, Doral, FL 33122-1088
Phone: (786) 504-4626
Fax: (305) 468-6217
Mailing address: 9803 SW 134th Pl, Miami, FL 33186-2265

Authorised official

Name: Anneyd Avalos Pena
Title: Owner
Phone: (786) 925-3143

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Florida →

Registry record

NPI: 1043900798
Entity type: Organization
NPI issued: 8 May 2023
Record last updated: 16 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.