ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC (NPI# 1083645717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083645717 |
| Entity Type | Organization |
| Organization Name | ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC |
| Practice Address |
5070 Highway A1a Vero Beach FL 32963-1400 |
| Practice Telephone | 7722373700 |
| Practice Fax Number | 7722343770 |
| Mailing Telephone | 7722373700 |
| Mailing Fax Number | 7722343770 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | FERDINAND F BECKER (PROVIDER) |
| Authorized Official Telephone | 4803573904 |
| Authorized Official Credential | MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
5070 HIGHWAY A1A |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32963-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801286042 | Vero Implant and Esthetic Dentistry | Clinic/Center | 5070 Highway A1a, Suite E, Vero Beach, FL 32963-1400 | 2015-01-26 |
| 1053745364 | Adam Robert Jones | Dentist | 5070 Highway A1a, Suite E, Vero Beach, FL 32963 | 2013-08-23 |
| 1063757698 | Giuliana Diaz Jones | Dentist | 5070 Highway A1a, Suite E, Vero Beach, FL 32963-1400 | 2012-12-08 |
| 1003111923 | Advanced Facial Cosmetic & Laser Surgery Center, LLC | Plastic Surgery | 5070 Highway A1a, Suite A, Vero Beach, FL 32963-1400 | 2011-01-25 |
| 1215136767 | Alan J Durkin | Surgery | 5070 Highway A1a, Suite A, Vero Beach, FL 32963-1400 | 2007-07-15 |
| 1447329750 | Deedra R Garrison | Physician Assistant | 5070 Highway A1a, Suite A, Vero Beach, FL 32963-1400 | 2006-11-08 |
| 1154352193 | Ferdinand F Becker | Plastic Surgery | 5070 Highway A1a, Vero Beach, FL 32963-1400 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277127 | Gretchen Szentirmai | Physical Therapist | 2498 S Highway A1a, Vero Beach, FL 32963 | 2018-06-01 |
| 1013315431 | Coast Medical Centers, LLC | Clinic/Center | 1193 South Federal Highway, Vero Beach, FL 32963 | 2014-12-17 |
| 1861827966 | Nicholas T Woltjen | Physician Assistant | 5070 A1a, Vero Beach, FL 32963 | 2013-09-08 |
| 1326381369 | Thomas James Spackman | Radiology | 351 Westwind Ct, Vero Beach, FL 32963 | 2013-03-28 |
| 1457624066 | Don Robert Kelso | Surgery | 965 Lantern Lane, Vero Beach, FL 32963 | 2012-02-13 |
| 1386873388 | Herman Michael Fountain | Family Medicine | 917 Orchid Point Way, Vero Beach, FL 32963 | 2009-07-11 |
| 1780883322 | Yusuf M. Mihaylov | Acupuncturist | 5070 North Highwaya1a, Suite B, Vero Beach, FL 32963 | 2007-07-13 |
| 1700087186 | Maria De Francisci | Social Worker | 9525 W. Maiden Ct., Vero Beach, FL 32963 | 2007-05-31 |
| 1326267675 | Alana M Keough Humberson | Dentist | 3379 Ocean Drive, Vero Beach, FL 32963 | 2007-04-25 |
| 1245531482 | Town of Indian River Shores | Ambulance | 6001 Highway A1a, Indian River Shores, FL 32963-1014 | 2010-11-04 |
| Find all providers in zip 32963 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544172 | Vero Facial Cosmetic Surgery & Medispa,pllc | Plastic Surgery | 1255 37th St Ste D, Vero Beach, FL 32960-6550 | 2015-12-30 |
| 1932578481 | Vero Cosmetic Surgery & Medispa LLC | Plastic Surgery | 1255 37th St, Suite D, Vero Beach, FL 32960-6550 | 2015-09-15 |
| 1982861308 | Katsiaryna Serheeuna Huseva Bailor | Plastic Surgery | 1255 37th St, Suite D, Vero Beach, FL 32960-6550 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659756740 | Garcia Institute Ponte Vedra LLC | Plastic Surgery | 190 A1a N # 1, Ponte Vedra Beach, FL 32082-1773 | 2015-07-30 |
| 1790911022 | Kriston J Kent Md Pa | Plastic Surgery | 1660 Medical Blvd Ste 100, Naples, FL 34110-1415 | 2009-06-01 |
| 1295946598 | Rian Maercks | Plastic Surgery | 4500 Biscayne Blvd Ste 104, Miami, FL 33137-3227 | 2007-05-25 |
| 1467512699 | Adler Facial Plastic Surgery Pa | Plastic Surgery | 323 Osceola St, Stuart, FL 34994 | 2006-12-11 |
| 1770665846 | Garcia Aesthetic & Wellness Center Inc | Plastic Surgery | 190 A1a N, Ponte Vedra Beach, FL 32082-1773 | 2006-10-19 |
| 1922105600 | Juan Phillip Garcia | Plastic Surgery | 700 3rd Street, Suite 102, Neptune Beach, FL 32266 | 2006-09-17 |
| 1255445862 | John J Obrien Jr. | Plastic Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1134 | 2006-08-19 |
| 1427162486 | William L Carter | Plastic Surgery | 2706 Dr Martin Luther King Jr Blvd W, Suite B, Tampa, FL 33607-6360 | 2006-08-18 |
| 1538140231 | Ross A Clevens | Plastic Surgery | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2005-11-09 |
| 1154325439 | Nicholas Themis Monsul | Plastic Surgery | 2068 Hawthorne St, Ste 201, Sarasota, FL 34239-2307 | 2005-06-02 |
| Find all providers with the same taxonomy | ||||
| City | VERO BEACH |
| Zip Code | 32963 |
Please comment or provide details below to improve the information on ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.