Basic Information
Provider Information
NPI: 1144560236
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: D'AURORA
FirstName: VALERIE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2815 S. SEACREST BLVD
Address2:  
City: BOYNTON BEACH
State: FL
PostalCode: 33435
CountryCode: US
TelephoneNumber: 5619687968
FaxNumber:  
Practice Location
Address1: 2815 S. SEACREST BLVD
Address2:  
City: BOYNTON BEACH
State: FL
PostalCode: 33435
CountryCode: US
TelephoneNumber: 5512086680
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/26/2013
LastUpdateDate: 07/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X25MA10638600NJN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0204XME129313FLY Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology

No ID Information.


Home