Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Plastic Surgery Center of Lake County

Ambulatory Surgical Clinic/Center in Tavares, FL · enumerated 2006 · authorized official Vera Renfro, Office Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073543310

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Registry record

Entity type Organization (Type 2)

Legal business name Plastic Surgery Center of Lake County

Other name <Unavail>

Practice address 1879 Nightingale Ln, A-2, Tavares, FL, 32778

Phone (352) 742-0079

Fax (352) 742-0059

Enumeration date Jul 3, 2006

Last updated in NPPES Jun 18, 2008

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 1049 (FL) Primary

Authorized official

Name Vera Renfro

Title Office Administrator

Phone (352) 742-0079

Other identifiers

Identifier	Type	State	Issuer
252761801	Medicaid	FL	-
6B8	Other	FL	BLUE CROSS AND SHIELD FL
490003374	Other	FL	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Plastic Surgery Center of Lake County?

Plastic Surgery Center of Lake County is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

Providers at this address

Browse all →

Borys Mascarenhas Surgery Physician · Tavares, FL NPI 1588661664 Cesar Unyon Internal Medicine Physician · Tavares, FL NPI 1053396309 David F Fernandez, MD, PA Internal Medicine Physician · Tavares, FL NPI 1679558928 Open Mri of Orlando Inc Radiology Clinic/Center · Tavares, FL NPI 1467491993 Julio Lesmes Cardiovascular Disease Physician · Tavares, FL NPI 1821027517 Peter Marzek Plastic Surgery Physician · Tavares, FL NPI 1336171388 Richard Bosshardt Plastic Surgery Physician · Tavares, FL NPI 1942235783 Plastic Surgery Center of Lake County, P.A. Plastic Surgery Physician · Tavares, FL NPI 1790881654

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-18.