Donald Proctor in Vero Beach - Mohs-micrographic Surgery

Donald Proctor - NPI 1043219405

Donald Proctor is a Mohs-micrographic Surgery in Vero Beach, Florida. Donald Proctor practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Donald Proctor is 1043219405. The last update date is 2007-07-08.

Donald Proctor's current location address is 2206 E Ocean Oaks Ln, Vero Beach, Florida. You can contact this provider via phone number 7725671164 and fax number 7727700799. The mailing address for Donald Proctor is 2206 E Ocean Oaks Ln, Vero Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Proctor
Address 2206 E Ocean Oaks Ln, Vero Beach, Florida
Phone Number 7725671164
Fax Number 7727700799
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1043219405
Provider Enumeration Date 2005-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2206 E Ocean Oaks Ln
City Vero Beach
State Florida (FL)
Post Code 329633104
Phone Number 7725671164
Fax Number 7727700799

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No ME0064734
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28426 FL BLUE CROSS

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FAQs about Donald Proctor

What is the unique 10-digit identification code assigned to Donald Proctor by the Centers for Medicare & Medicaid Services?

The Donald Proctor has been issued the NPI (National Provider Identifier) 1043219405, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Donald Proctor?

The Donald Proctor is situated at 2206 E Ocean Oaks Ln, in the city of Vero Beach, state of FL, with the zip code 329633104.

What is Donald Proctor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Donald Proctor is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.

On what date was the 1043219405 assigned to Donald Proctor?

The Donald Proctor was issued its 1043219405 on 2005-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Donald Proctor most recently updated or refreshed?

The details pertaining to the Donald Proctor, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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