PALM BEACH FACIAL PLASTIC SURGERY LLC
NPI 1720484686
Plastic Surgery - Plastic Surgery Within the Head and Neck in Palm Beach Gardens, FL

Active since November 05, 2014CLIA 10D1094869 · Waiver
4280 PROFESSIONAL CENTER DR, STE 310, PALM BEACH GARDENS, FL 33410(561) 659-9766 Get Directions Write a Review

NPPES record last updated: November 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Palm Beach Facial Plastic Surgery Llc NPPES

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

PALM BEACH FACIAL PLASTIC SURGERY LLC (NPI 1720484686) is a healthcare organization registered as a plastic surgery within the head and neck in Palm Beach Gardens, Florida and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Mark R Murphy, Owner, as its authorized official.

NPPES Registry Identity

NPI1720484686
Entity TypeOrganization
Primary Taxonomy2082S0099X
Legal Business NamePALM BEACH FACIAL PLASTIC SURGERY LLC
Location Address4280 PROFESSIONAL CENTER DR, STE 310Palm Beach Gardens, FL 33410-4280
Mailing Address4280 Professional Center Dr, Ste 310Palm Beach Gardens, FL 33410-4280 · (561) 659-9766
Organization SubpartNo
Authorized OfficialMark R MurphyOwner · (561) 659-9766
Enumeration DateNovember 5, 2014
NPI 1720484686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License Licensed in FL · ME91139
Definition

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.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License ME91139 (FL)
4280 PROFESSIONAL CENTER DR, Palm Beach Gardens, FL 33410

Other Identifiers 1

Medicare UPIN121307FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1094869

Palm Beach Facial Plastic Surgery LLC · Palm Beach Gardens, FL
Active · expires Jan 27, 2027
CLIA Number10D1094869
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorMark Murphy MD
Laboratory Phone(561) 659-9766
Laboratory LocationPalm Beach Facial Plastic Surgery LLC4280 Professional Ctr Dr Ste 310, Palm Beach Gardens, FL 33410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
4280 PROFESSIONAL CENTER DR, SUITE 300
PALM BEACH GARDENS, FL 33410
Obstetrics & Gynecology
4280 PROFESSIONAL CENTER DR, SUITE 300
PALM BEACH GARDENS, FL 33410

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 Palm Beach Facial Plastic Surgery LLC's NPI number?

The NPI number for Palm Beach Facial Plastic Surgery LLC is 1720484686. It was assigned to this organization in the NPPES registry on November 5, 2014.

Where is Palm Beach Facial Plastic Surgery LLC located?

Palm Beach Facial Plastic Surgery LLC is located at 4280 Professional Center Dr Ste 310, Palm Beach Gardens, FL 33410. The listed phone number is (561) 659-9766.

What is Palm Beach Facial Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

Does Palm Beach Facial Plastic Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1094869) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palm Beach Facial Plastic Surgery LLC was last updated on November 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.