Active NPI
Face Center of Vero PLC
- MOHS-Micrographic Surgery Physician
- Vero Beach, FL
National Provider Identifier
1700923190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME0064734
- Legal business name
- FACE CENTER OF VERO PLC
- Practice address
- 1325 36TH St
Suite a
Vero Beach, FL 32960-6599 - Phone
- (772) 567-1165
- Fax
- (772) 770-0799
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald C Proctor, MD
- Title
- President
- Phone
- (772) 567-1165
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME0064734 | FL | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | ME0064734 | FL |
Addresses
Primary practice location
1325 36TH St
Suite a
Vero Beach, FL 32960-6599
Mailing address
1325 36TH St
Suite a
Vero Beach, FL 32960-6599
Phone (772) 567-1165
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1700923190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 36TH ST",
"address_2": "SUITE A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606599",
"telephone_number": "772-567-1165",
"fax_number": "772-770-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 36TH ST",
"address_2": "SUITE A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606599",
"telephone_number": "772-567-1165",
"fax_number": "772-770-0799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACE CENTER OF VERO PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PROCTOR",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "772-567-1165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME0064734",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "ME0064734",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.