Organization Active NPI

Yanick P Eugene Dauphin Mdpa

Doing business as Ladylake Medical Consultants

  • Infectious Disease Physician
  • Lake Worth, FL
National Provider Identifier
1164615894
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME68488 Issued in FL
Legal business name
YANICK P EUGENE DAUPHIN MDPA
Doing business as
Ladylake Medical Consultants
Practice address
4801 S Congress Ave
Suite 201a
Lake Worth, FL 33461-4746
Phone
(561) 439-4779
Fax
(561) 439-7089
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Yanick Paule Eugene-Dauphin, M.D.
Title
Medical Director
Phone
(561) 439-4779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X ME68488 FL Primary

Addresses

Primary practice location

4801 S Congress Ave
Suite 201a
Lake Worth, FL 33461-4746

Mailing address

4801 S Congress Ave
Suite 201a
Lake Worth, FL 33461-4746
Phone (561) 439-4779

Other names 1

  • LADYLAKE MEDICAL CONSULTANTS Doing business as

National Provider Directory

National Provider Directory

Locations

4801 S Congress Ave
Ste 201A
Palm Springs, FL 33461
Phone (561) 439-4779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1164615894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 201A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-439-4779",
            "fax_number": "561-439-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CONGRESS AVE",
            "address_2": "SUITE 201A",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614746",
            "telephone_number": "561-439-4779",
            "fax_number": "561-439-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANICK P EUGENE DAUPHIN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "EUGENE-DAUPHIN",
        "authorized_official_first_name": "YANICK",
        "authorized_official_middle_name": "PAULE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-439-4779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME68488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LADYLAKE MEDICAL CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.