Proctor, Donald

Proctor, Donald is an individual health care provider with primary practice located at 1325 36Th St Suite A, Vero Beach FL 32960-6599. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Proctor, Donald can be contacted via phone (772) 567-1164.

Contact Information

Primary practice address
1325 36Th St Suite A Vero Beach FL 32960-6599
Phone: (772) 567-1164
Fax: (772) 770-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME0064734 Florida
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X ME0064734 Florida

Profile Details

NPI number 1043219405
LBN Legal business name Proctor, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043219405 NPPES
Florida Other 28426 BLUE CROSS

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