Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Institute of Facial Surgery Inc

Organization Specialist · NPI 1386855096

Institute of Facial Surgery Inc provides Specialist services in West Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1093 S Wickham Rd
West Melbourne, FL 32904-1652 Not confirmed with CMS for 16 years — call before visiting
Phone: (321) 674-3900
Fax: (321) 722-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 429 (FL)

Record details

NPI number1386855096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Grenevicki — Ownerdoctor · (321) 674-3900
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 24, 2010
Mailing address1093 S Wickham Rd, West Melbourne, FL 32904-1652

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