Plastic Surgery Center of Lake County, P.A.
NPI 1790881654 · Plastic Surgery Physician · Tavares, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Plastic Surgery Center of Lake County, P.A. is a Plastic Surgery Physician organization in Tavares, FL (NPI 1790881654).
Provider details
- NPI number
- 1790881654
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vera Renfro, Office Administrator(352) 742-0079
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bosshardt and Marzek , Plastic Surgery Associates
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Plastic Surgery Center of Lake County, P.A.'s NPI number?
- Plastic Surgery Center of Lake County, P.A.'s National Provider Identifier (NPI) is 1790881654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Plastic Surgery Center of Lake County, P.A.?
- Plastic Surgery Center of Lake County, P.A. is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Plastic Surgery Center of Lake County, P.A. located?
- Plastic Surgery Center of Lake County, P.A.'s practice location on file with NPPES is 1879 Nightingale Ln, Tavares, FL 32778-4363.
- What is Plastic Surgery Center of Lake County, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Plastic Surgery Center of Lake County, P.A. is (352) 742-0079.
- Does Plastic Surgery Center of Lake County, P.A. accept Medicare?
- Plastic Surgery Center of Lake County, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Plastic Surgery Center of Lake County, P.A.?
- The authorized official listed on Plastic Surgery Center of Lake County, P.A.'s NPPES record is Vera Renfro, Office Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Plastic Surgery Center of Lake County, P.A.'s NPI active?
- Yes — Plastic Surgery Center of Lake County, P.A.'s NPI (1790881654) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.