Provider Demographics
NPI:1225860034
Name:BEAUTIFUL EXPRESSIONS LLC
Entity type:Organization
Organization Name:BEAUTIFUL EXPRESSIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANILU
Authorized Official - Middle Name:
Authorized Official - Last Name:MACEDO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:786-222-9609
Mailing Address - Street 1:835 NW 135TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-3170
Mailing Address - Country:US
Mailing Address - Phone:786-222-9609
Mailing Address - Fax:786-396-1770
Practice Address - Street 1:18351 PINES BLVD STE 2
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1413
Practice Address - Country:US
Practice Address - Phone:954-366-9806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty