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General NPI Number Information
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NPI Number | 1700923190
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Entity Type | Organization
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Legal Business Name | FACE CENTER OF VERO PLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1325 36TH ST SUITE A
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City | VERO BEACH
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State | FL
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Zip | 32960-6599
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Country | US
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Telephone | 772-567-1165
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Fax | 772-770-0799
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Provider Business Mailing Address
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Address Line | 1325 36TH ST SUITE A
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City | VERO BEACH
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State | FL
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Zip | 32960-6599
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Country | US
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Telephone | 772-567-1165
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Fax | 772-770-0799
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD C PROCTOR
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Credential | MD
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Telephone | 772-567-1165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | ME0064734
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME0064734
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License Number State | FL
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