# ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083645717
- **Authorized official:** FERDINAND F BECKER MD, FACS (PROVIDER)
- **Authorized official phone:** (480) 357-3904

## Contact information

- **Practice address:** 5070 HIGHWAY A1A, VERO BEACH, FL 32963-1400
- **Practice address phone:** (772) 237-3700
- **Practice address fax:** (772) 234-3770
- **Mailing address:** 5070 HIGHWAY A1A, VERO BEACH, FL 32963-1400
- **Mailing address phone:** (772) 237-3700
- **Mailing address fax:** (772) 234-3770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/22/2007