MD Beauty Labs PA

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

Organization subpart

No

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

Authorized official

Name

Daniela Dadurian, M.D.

Title

President

Phone

(561) 655-6325

Specialties & licenses 1

Addresses

Locations

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": []
}

• Osianna L McReed
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• Melissa McVan, MS
• Zachary McVicker
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• MD Now Medical Centers Inc
• MD Now Medical Centers Inc

• All providers in West Palm Beach, FL
• Internal Medicine Physician in Florida

• 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.