NPI 1003111923 · live from the CMS NPI Registry
Advanced Facial Cosmetic & Laser Surgery Center, LLC
Plastic Surgery in Vero Beach, FL. National Provider Identifier 1003111923, active.
NPI record
| NPI | 1003111923 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Plastic Surgery 208200000X |
| Practice location | 5070 Highway A1a, Suite A, Vero Beach, FL 32963 |
| Practice phone | 772-234-3700 |
| Enumerated | January 25, 2011 |
| Last updated | November 10, 2021 |
| Authorized official | Alan Durkin, Owner |
| Other names | Ocean Drive Plastic Surgery |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Plastic Surgery | 208200000X | — |
| Surgery | 208600000X | — |
| Surgery, Surgical Oncology | 2086X0206X | — |
| Plastic Surgery primary | 208200000X | ME99004 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.