institution
Plastic Surgery Center Of Lake County
Ambulatory Surgical Clinic/Center in Tavares, Florida
NPI 1073543310

Plastic Surgery Center Of Lake County is an Ambulatory Surgical Clinic/Center based in Tavares, FL and is specialized in Ambulatory Surgical. Plastic Surgery Center Of Lake County practices in Tavares, FL. The NPI Number for Plastic Surgery Center Of Lake County is 1073543310 and holds a License No. 1049 (Florida).

The current practice location address for Plastic Surgery Center Of Lake County is 1879 Nightingale Ln, Tavares, FL and can be reached out via phone at 352-742-0079 and via fax at 352-742-0059.

Location: 1879 Nightingale Ln, Tavares, FL, 32778-4363
institution
Provider Profile Details
NPI Number
1073543310
Provider Name
Plastic Surgery Center Of Lake County
Credential
Provider Entity Type
Organization
Address
1879 Nightingale Ln, Tavares, FL, 32778-4363
Phone Number
352-742-0079
Fax Number
352-742-0059
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
252761801 05 FL
6B8 01 FL BLUE CROSS AND SHIELD FL
490003374 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1879 Nightingale Ln
City
State
Zip
32778-4363
Phone Number
352-742-0079
Fax Number
352-742-0059
person
Provider Business Mailing Address Details
Address
1879 Nightingale Ln
City
State
Zip
32778-4363
Phone Number
352-742-0079
Fax Number
352-742-0059
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
1049 (Florida)
Definition
Definition to come...
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