Plastic Surgery Center Of Lake County in Tavares - Ambulatory Surgical
Plastic Surgery Center Of Lake County - NPI 1073543310
Plastic Surgery Center Of Lake County is a Ambulatory Surgical in Tavares, Florida. Plastic Surgery Center Of Lake County practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Plastic Surgery Center Of Lake County is 1073543310. The last update date is 2008-06-18.
Plastic Surgery Center Of Lake County's current location address is 1879 Nightingale Ln, Tavares, Florida. You can contact this provider via phone number 3527420079 and fax number 3527420059. The mailing address for Plastic Surgery Center Of Lake County is 1879 Nightingale Ln, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic Surgery Center Of Lake County |
|---|---|
| Address | 1879 Nightingale Ln, Tavares, Florida |
| Phone Number | 3527420079 |
| Fax Number | 3527420059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Renfro D. Vera |
| Telephone Number | 3527420079 |
NPI Number Detail
| NPI Number | 1073543310 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 1879 Nightingale Ln |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327784363 |
| Phone Number | 3527420079 |
| Fax Number | 3527420059 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 1049 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252761801 | FL | -- | |
| 6B8 | FL | BLUE CROSS AND SHIELD FL | |
| 490003374 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Plastic Surgery Center Of Lake County by the Centers for Medicare & Medicaid Services?
The Plastic Surgery Center Of Lake County has been assigned the NPI (National Provider Identifier) 1073543310. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Plastic Surgery Center Of Lake County is physically located?
The Plastic Surgery Center Of Lake County is physically situated at the following address: 1879 Nightingale Ln, Tavares, FL, 327784363.
What is Plastic Surgery Center Of Lake County's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Plastic Surgery Center Of Lake County is Ambulatory Surgical, and the taxonomy code that categorizes this field of expertise is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073543310 to Plastic Surgery Center Of Lake County?
The Centers for Medicare & Medicaid Services originally issued the 1073543310 to Plastic Surgery Center Of Lake County on 2006-07-03.
As of what date were the details pertaining to Plastic Surgery Center Of Lake County last refreshed?
The information related to the Plastic Surgery Center Of Lake County, including its address, specialty, and other relevant details, was last updated on 2008-06-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY