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

Plastic Surgery Center of Lake County, PA

Organization Plastic Surgery Physician · NPI 1790881654

Plastic Surgery Center of Lake County, PA is a Plastic Surgery Physician in Tavares, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1879 Nightingale Ln Ste #A-2
Tavares, FL 32778-4363
Phone: (352) 742-0079
Fax: (352) 742-0059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1790881654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vera Renfro — Office Administrator · (352) 742-0079
Other names Bosshardt And Marzek , Plastic Surgery Associates
NPI enumeratedSeptember 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1879 Nightingale Ln, Suite #A-2, Tavares, FL 32778-4363

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