INSTITUTE OF FACIAL SURGERY INC
NPI 1386855096
Specialist in West Melbourne, FL

Active since May 24, 2007
1093 S WICKHAM RD, WEST MELBOURNE, FL 32904(321) 674-3900(321) 722-3303 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Institute Of Facial Surgery Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INSTITUTE OF FACIAL SURGERY INC (NPI 1386855096) is a healthcare organization registered as a specialist in West Melbourne, Florida and active in the NPI registry since May 2007. The organization lists Lance F Grenevicki, Ownerdoctor, as its authorized official.

NPPES Registry Identity

NPI1386855096
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINSTITUTE OF FACIAL SURGERY INC
Location Address1093 S WICKHAM RDWest Melbourne, FL 32904-1652
Mailing Address1093 S Wickham RdWest Melbourne, FL 32904-1652 · (321) 674-3900 · Fax (321) 722-3303
Fax(321) 722-3303
Organization SubpartNo
Authorized OfficialLance F GrenevickiOwnerdoctor · (321) 674-3900
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 24, 2010
NPI 1386855096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · 429
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1093 S WICKHAM RD, West Melbourne, FL 32904

Other Identifiers 1

Medicare ID-Type UnspecifiedK3129FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Oral & Maxillofacial Surgery
1093 S WICKHAM RD, THE INSTITUTE OF FACIAL SURGERY
WEST MELBOURNE, FL 32904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Institute Of Facial Surgery Inc's NPI number?

The NPI number for Institute Of Facial Surgery Inc is 1386855096. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Institute Of Facial Surgery Inc located?

Institute Of Facial Surgery Inc is located at 1093 S Wickham Rd, West Melbourne, FL 32904. The listed phone number is (321) 674-3900.

What is Institute Of Facial Surgery Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Institute Of Facial Surgery Inc was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.