CMS-1500 Box 24J / 33a • NPI
1083645717
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2082S0099X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck
Box 32 Service Location & ZIP+4
5070 HIGHWAY A1A, VERO BEACH, FL, 32963-1400
✓ 9-Digit EDI 837 ZIP+4 (32963-1400)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083645717 (ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC) 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 | 1083645717 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck NUCC Code: 2082S0099X (Plastic Surgery, Plastic Surgery Within the Head and Neck) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5070 HIGHWAY A1A, VERO BEACH, FL, 32963-1400 |
| Practice Telephone / Fax | Tel: (772) 237-3700 | Fax: (772) 234-3770 |
| Administrative Mailing Address | 5070 HIGHWAY A1A, VERO BEACH, FL, 32963-1400 |
| Enumeration & Last Sync | Enumerated: 2006-07-05 | CMS Record Updated: 2007-10-22 |
| Authorized Official | FERDINAND BECKER (Provider) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2082S0099X)
What Does Taxonomy Code 2082S0099X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2082S0099X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC)
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 |
|---|---|
2082S0099X — Plastic Surgery, Plastic Surgery Within the Head and NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Plastic Surgery Within the Head & Neck | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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