Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Institute of Facial Surgery Inc

Organization Specialist · NPI 1386855096

Institute of Facial Surgery Inc is a Specialist 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
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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