CMS-1500 Box 24J / 33a • NPI
1003111923
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
5070 HIGHWAY A1A, SUITE A, VERO BEACH, FL, 32963-1400
✓ 9-Digit EDI 837 ZIP+4 (32963-1400)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1003111923 (ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1003111923 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER, LLC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: 208200000X (Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5070 HIGHWAY A1A, SUITE A, VERO BEACH, FL, 32963-1400 |
| Practice Telephone / Fax | Tel: (772) 234-3700 | Fax: (772) 234-3770 |
| Administrative Mailing Address | 5070 HIGHWAY A1A, VERO BEACH, FL, 32963-1400 |
| Enumeration & Last Sync | Enumerated: 2011-01-25 | CMS Record Updated: 2021-11-10 |
| Authorized Official | ALAN DURKIN (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208200000X)
What Does Taxonomy Code 208200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: N/A | License: Verified | Primary: Secondary |
207ND0101X — Dermatology, MOHS-Micrographic SurgeryPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: N/A | License: Verified | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: N/A | License: Verified | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: N/A | License: Verified | Primary: Secondary |
2086X0206X — Surgery, Surgical OncologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Oncology | State: N/A | License: Verified | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: FL | License: ME99004 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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