Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plastic Surgery Center of Lake County, PA

Organization Plastic Surgery Physician · NPI 1790881654

Plastic Surgery Center of Lake County, PA provides Plastic Surgery Physician services 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.

See every abbreviation used in this directory →

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

Other providers in Tavares