PLASTIC SURGERY CENTER OF LAKE COUNTY
Ambulatory Health at Nightingale Ln, Tavares, FL

License number
Florida 1049
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MRS. VERA D. RENFRO
Title: OFFICE ADMINISTRATOR
Phone: (352) 742-0079
Address
Address
1879 Nightingale Ln, Tavares, FL 32778
National Provider ID: 1073543310
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Plastic Surgery Center of Lake County

1879 Nightingale Ln, Tavares, FL 32778

Industry:
Medical Doctor's Office
Phone:
(352) 742-0079 (Phone)
Office Managers:
R. Bosshardt (Partner, Surgery-Plastic, Medical Doctor),Vera D. Renfro (Office Manager, Office Administrator),Zera Renfro (Administration),...

Plastic Surgery Center of Lake County, PA

Orlando, FL  -  Tavares, FL

Industry:
Surgeons, Plastic Surgery
Registration:
Oct 5, 1992
Phone:
(352) 742-0079 (Phone)
Addresses:
PO Box 112, Orlando, FL 32802
1879 Nightingale Ln, Tavares, FL 32778
PO Box 3068, Orlando, FL 32802
State ID:
V70110
Business type:
Domestic for Profit Corporation
Director, Vice Presidents:
Richard Bosshardt (President, Treasurer, Director, Secretary),Peter A. Marzek (Director, Vice President)
Agent:
David L. Schick

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