Institute of Facial Surgery INC
NPI #1386855096 in West Melbourne, Florida
Provider Information
- NPI Number
- 1386855096
- Entity Type
- Organization
- Organization Name
- Institute of Facial Surgery INC
- Primary Specialty
- Specialist
- Enumeration Date
- May 24, 2007
- Last Updated
- Aug 24, 2010
Practice Location
- Address
- 1093 S WICKHAM RD
- City
- West Melbourne
- State
- Florida
- ZIP Code
- 32904-1652
- Phone
- (321) 674-3900
Authorized Official
- Name
- DR. LANCE F GRENEVICKI, DDS,MD,FACS
- Title
- OWNERDOCTOR
- Phone
- (321) 674-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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