Individual
DR. DONALD PROCTOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 36TH ST, SUITE A, VERO BEACH, FL 32960-6599
(772) 567-1164
(772) 770-0799
Mailing address
2206 E OCEAN OAKS LN, VERO BEACH, FL 32963-3104
(772) 567-1164
(772) 770-0799
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME0064734
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
ME0064734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28426
BLUE CROSS
FL
Enumeration date
07/19/2005
Last updated
09/11/2025
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