Beautysmart Dermatology Clinic and Medical Spa LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

BEAUTYSMART DERMATOLOGY CLINIC AND MEDICAL SPA LLC

Practice address

94 S Federal Hwy
Boca Raton, FL 33432-4825

Phone

(561) 990-7294

NPI assigned

Jun 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deana M Clark, CME

Title

Managing Partner

Phone

(561) 990-7294

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033639786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324825",
            "telephone_number": "561-990-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324825",
            "telephone_number": "561-990-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTYSMART DERMATOLOGY CLINIC AND MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-990-7294",
        "authorized_official_credential": "CME"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucika Beaubrun, B.S
• Nephthalie Beaubrun
• Vanessa Beauchamp
• Lydia Beaulieu-Dodd
• Jason Beaupied, LMHC, LMFT
• Gina Nasser Bebawey, DPT
• Daniel Gregory Bebernitz, BCBA
• Diana Milena Becerra Bedoya, RBT
• Kimberly Becher
• Daniel Beck, FNP

• Procedural Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.