Organization Active NPI

MD Beauty Labs PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1043480759
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70074 Issued in FL
Legal business name
MD BEAUTY LABS PA
Practice address
320 S. Quadrille Blvd
West Palm Beach, FL 33401-3404
Phone
(561) 655-6325
Fax
(561) 366-1198
NPI assigned
Mar 10, 2008
Last updated
Aug 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Daniela Dadurian, M.D.NPI 1134126469
Title
President
Phone
(561) 655-6325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME70074 FL Primary

Addresses

Primary practice location

320 S. Quadrille Blvd
West Palm Beach, FL 33401-3404

Mailing address

320 S. Quadrille Blvd
West Palm Beach, FL 33401-3404
Phone (561) 655-6325

National Provider Directory

National Provider Directory

Locations

1411 N Flagler Dr
Ste 9000
West Palm Beach, FL 33401
Phone (561) 584-8460

320 S Quadrille Blvd
West Palm Beach, FL 33401
Phone (561) 366-9773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1043480759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S. QUADRILLE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-655-6325",
            "fax_number": "561-366-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S. QUADRILLE BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-655-6325",
            "fax_number": "561-366-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD BEAUTY LABS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "DADURIAN",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-6325",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.