Individual provider Active NPI

Yanick Eugene-Dauphin, MD

  • Internal Medicine Physician
  • Pahokee, FL
National Provider Identifier
1104800549
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME68488 Issued in FL
Practice address
170 S Barfield Hwy Ste 101
Pahokee, FL 33476-1868
Phone
(561) 924-6100
Fax
(844) 543-0393
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68488 FL Primary

Addresses

Primary practice location

170 S Barfield Hwy Ste 101
Pahokee, FL 33476-1868

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000048 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 8628159878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of Health 126 clinicians

Practice addresses (Care Compare)

38754 State Rd
Suite 80
Belle Glade, FL 33430-5615
Phone (561) 983-9232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME68488FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 3, 2023 Accepting new patients
Florida Department of Health CurrentSince Feb 3, 2023 Accepting new patients

Locations

38754 State Road 80
Belle Glade, FL 33430
Phone (561) 671-4117

1250 Southwinds Dr
Lantana, FL 33462
Phone (561) 547-6800

800 Clematis St
Ste 5531
West Palm Beach, FL 33401
Phone (561) 671-4036

800 Clematis St
West Palm Beach, FL 33401
Phone (561) 837-5560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1104800549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-844-9443",
            "fax_number": "561-844-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S BARFIELD HWY STE 101",
            "city": "PAHOKEE",
            "state": "FL",
            "postal_code": "334761868",
            "telephone_number": "561-924-6100",
            "fax_number": "844-543-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUGENE-DAUPHIN",
        "first_name": "YANICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahokee, FL

Sources for this page

Verify at the official NPI Registry.